Acute nontraumatic subdural intracranial hematoma: rare complication of percutaneous vertebroplasty

Elbek S. Halikulov, Kamaliddin N. Jumanov, Eduard S. Juraev

Abstract


The paper describes a rare case of acute intracranial subdural hematoma in a 22-year old woman followed by fluoroscopy-guided percutaneous vertebroplasty for vertebral hemangioma. Percutaneous vertebroplasty was performed in usual manner on prone position. The next day a female patient complained of headache, nausea and vomiting. MRI images revealed subdural hematoma compressing the brain. Intracranial vascular abnormalities and coagulopathies associated with subdural intracranial hematoma were not evident on CT-angiography and in laboratory tests. Craniotomy was performed to remove the subdural hematoma, and the patient fully recovered. Percutaneous vertebroplasty was emphasized to be followed by rare intracranial complications, awareness of which is very important for the surgeon for complications prevention and treatment outcomes improvement.


Keywords


percutaneous vertebroplasty; intracranial subdural hematoma; complications

References


1. Galibert P, Deramond H, Rosat P, Le Gars D. [Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty]. Neurochirurgie. 1987;33(2):166-8. [PubMed]

2. Pedachenko EG, Kuschaev SV. Punktsionnaya vertebroplastika. [Percutaneous vertebroplasty]. Kiev: A.L.D.; 2005. Russian.

3. Lai PL, Chen LH, Chen WJ, Chu IM. Chemical and physical properties of bone cement for vertebroplasty. Biomed J. 2013;36(4):162-7. [CrossRef] [PubMed]

4. Farrokhi MR, Alibai E, Maghami Z. Randomized controlled trial of percutaneous vertebroplasty versus optimal medical management for the relief of pain and disability in acute osteoporotic vertrebral compression fractures. J Neurosurg Spine. 2011;14(5):561-9. [CrossRef] [PubMed]

5. Rousing R, Andersen MO, Jespersen SM, Thomsen K, Lauritsen J. Percutaneous vertebroplasty compared to conservative treatment in patients with painful acute or subacute osteoporotic vertebral fractures: three-months follow-up in a clinical randomized study. J Spine. 2009;34(13):1349-54. [CrossRef] [PubMed]

6. Wong W, Mathis M. Vertebroplasty and kyphoplasty: techniques for avoiding complications and pitfalls. Neurosurg Focus. 2005;18(3):1-10. [CrossRef] [PubMed]

7. Chen LH, Lai PL, Chen WJ. Current status of vertebroplasty for osteoporotic compression fracture. Chang Gung Med J. 2011;34:352-9. http://memo.cgu.edu.tw/cgmj/3404.htm

8. Khan M, Terk M. Cement pulmonary embolus complicating percutaneous vertebroplasty. Radiol Case Rep. 2009;4:282. http://www.hindawi.com/crim/radiology/

9. Wang LJ, Yang HL, Shi YX, Jiang WM, Chen L. Pulmonary cement embolism associated with percutaneous vertebroplasty or kyphoplasty: a systematic review. Orthop Surg. 2012;4(3):182-9. [CrossRef] [PubMed]

10. Lim JB, Park JS, Kim E. Nonaneurysmal subarachnoid hemorrhage: Rare complication of vertebroplasty. J Korean Neurosurg Soc. 2009;45(6):386-9. [CrossRef] [PubMed]

11. Scroop R, Eseridge J, Britz GW Paradoxical cerebral arterial embolization of cement during intraoperative vertebroplasty: case report. Am J Neuroradiol. 2002;23(5):868-70. [PubMed]

12. Vansconcelos C, Gailloud P, Beauchamp NJ, Heck DV, Murphy KJ. Is percutaneous vertebroplasty without pretreatment venography safe? Evaluation of 205 consecutives Procedures. Am J Neuroradiol. 2002;23(6):913-7. [PubMed]

13. Carlson AP, Pappu S, Keep MF, Turner P. Large cerebellar hemorrhage during trumpet playing: importance of blood pressure elevation during the valsalva maneuver: case report. Neurosurgery. 2008;62(6):1377. [CrossRef] [PubMed]

14. Matsuyama T, Okuchi K, Seki T, Higuchi T, Murao Y. Perimesencephalic nonaneurysmal subarachnoid hemorrhage caused by physical exertion. Neurol Med Chir (Tokyo). 2006;46(6):277-82. [PubMed]

15. Patel KC, Finelli PF. Nonaneurysmal convexity subarachnoid hemorrhage. Neurocrit Care. 2006;4(3):229-33. [CrossRef] [PubMed]

16. Grahovac G, Vilendecic M, Chudy D, Srdoc D, Skrlin J. Nightmare complication after lumbar disc surgery: cranial nontraumatic acute epidural hematoma. Spine (Phila Pa 1976). 2011;36(26):1761-4. [CrossRef] [PubMed]

17. Surash S, Bhargava D, Tyagi A. Bilateral extradural hematoma formation following excision of a thoracic intradural lesion. J Neurosurg Pediatr. 2009;3(2):137-40. [CrossRef] [PubMed]

18. Li ZJ, Sun P, Dou YH, Lan XL, Xu J, Zhang CY, Wang JP. Bilateral supratentorial epidural hematomas: a rare complication in adolescent spine surgery. Neurol Med Chir (Tokyo). 2012;52(9):646-8. [PubMed]

19. Paldino M, Mogilner AY, Tenner MS. Intracranial hypotension syndrome: a comprehensive review. Neurosurg Focus. 2003;15(6):ECP2. [PubMed]


GOST Style Citations






DOI: https://doi.org/10.25305/unj.104505

Copyright (c) 2017 Elbek S. Halikulov, Kamaliddin N. Jumanov, Eduard S. Juraev

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.