Cerebral venous thrombosis: an unexpected complication from spinal surgery

Detalhes bibliográficos
Autor(a) principal: Costa, BL
Data de Publicação: 2013
Outros Autores: Shamasna, M, Nunes, J, Magalhães, F, Peliz, AJ
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.4/1621
Resumo: PURPOSE: To provide new insights into the pathophysiology, prevention and diagnosis of cerebral venous thrombosis (CVT) associated with iatrogenic cerebrospinal fluid (CSF) leaks and/or external CSF drainage. METHODS: Case report and literature review. RESULTS: We describe the case of a 30-year-old woman who developed a CSF fistula after lumbar spinal surgery. The treatment included rest, hydration, caffeine, and continuous lumbar CSF drainage. After closure of the fistula, the patient complained of severe orthostatic headache. Thrombosis involving the superior sagittal sinus, the right transverse sinus, the right sigmoid sinus, and the right jugular vein was diagnosed after neurological deterioration. CONCLUSION: A few reports have associated CVT with various forms of spinal meningeal injury. However, it has been rarely documented following spinal surgery complicated by accidental durotomy and/or external lumbar CSF drainage. CSF hypovolemia may precipitate CVT in patients having prothrombotic risk factors. Patients who have or had CSF leaks and/or lumbar CSF drains who present with symptoms of intracranial CSF hypotension should remain in the horizontal position to prevent CVT. In that context, the diagnosis of CVT depends on a high degree of suspicion.
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spelling Cerebral venous thrombosis: an unexpected complication from spinal surgeryTrombose VenosaColuna Vertebral/ cirurgiaComplicações Pós-operatóriasPURPOSE: To provide new insights into the pathophysiology, prevention and diagnosis of cerebral venous thrombosis (CVT) associated with iatrogenic cerebrospinal fluid (CSF) leaks and/or external CSF drainage. METHODS: Case report and literature review. RESULTS: We describe the case of a 30-year-old woman who developed a CSF fistula after lumbar spinal surgery. The treatment included rest, hydration, caffeine, and continuous lumbar CSF drainage. After closure of the fistula, the patient complained of severe orthostatic headache. Thrombosis involving the superior sagittal sinus, the right transverse sinus, the right sigmoid sinus, and the right jugular vein was diagnosed after neurological deterioration. CONCLUSION: A few reports have associated CVT with various forms of spinal meningeal injury. However, it has been rarely documented following spinal surgery complicated by accidental durotomy and/or external lumbar CSF drainage. CSF hypovolemia may precipitate CVT in patients having prothrombotic risk factors. Patients who have or had CSF leaks and/or lumbar CSF drains who present with symptoms of intracranial CSF hypotension should remain in the horizontal position to prevent CVT. In that context, the diagnosis of CVT depends on a high degree of suspicion.SpringerRIHUCCosta, BLShamasna, MNunes, JMagalhães, FPeliz, AJ2014-01-03T15:27:09Z20132013-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.4/1621engEur Spine J. 2013 Dec 28. [Epub ahead of print]info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-11T14:22:53Zoai:rihuc.huc.min-saude.pt:10400.4/1621Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:04:06.428637Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Cerebral venous thrombosis: an unexpected complication from spinal surgery
title Cerebral venous thrombosis: an unexpected complication from spinal surgery
spellingShingle Cerebral venous thrombosis: an unexpected complication from spinal surgery
Costa, BL
Trombose Venosa
Coluna Vertebral/ cirurgia
Complicações Pós-operatórias
title_short Cerebral venous thrombosis: an unexpected complication from spinal surgery
title_full Cerebral venous thrombosis: an unexpected complication from spinal surgery
title_fullStr Cerebral venous thrombosis: an unexpected complication from spinal surgery
title_full_unstemmed Cerebral venous thrombosis: an unexpected complication from spinal surgery
title_sort Cerebral venous thrombosis: an unexpected complication from spinal surgery
author Costa, BL
author_facet Costa, BL
Shamasna, M
Nunes, J
Magalhães, F
Peliz, AJ
author_role author
author2 Shamasna, M
Nunes, J
Magalhães, F
Peliz, AJ
author2_role author
author
author
author
dc.contributor.none.fl_str_mv RIHUC
dc.contributor.author.fl_str_mv Costa, BL
Shamasna, M
Nunes, J
Magalhães, F
Peliz, AJ
dc.subject.por.fl_str_mv Trombose Venosa
Coluna Vertebral/ cirurgia
Complicações Pós-operatórias
topic Trombose Venosa
Coluna Vertebral/ cirurgia
Complicações Pós-operatórias
description PURPOSE: To provide new insights into the pathophysiology, prevention and diagnosis of cerebral venous thrombosis (CVT) associated with iatrogenic cerebrospinal fluid (CSF) leaks and/or external CSF drainage. METHODS: Case report and literature review. RESULTS: We describe the case of a 30-year-old woman who developed a CSF fistula after lumbar spinal surgery. The treatment included rest, hydration, caffeine, and continuous lumbar CSF drainage. After closure of the fistula, the patient complained of severe orthostatic headache. Thrombosis involving the superior sagittal sinus, the right transverse sinus, the right sigmoid sinus, and the right jugular vein was diagnosed after neurological deterioration. CONCLUSION: A few reports have associated CVT with various forms of spinal meningeal injury. However, it has been rarely documented following spinal surgery complicated by accidental durotomy and/or external lumbar CSF drainage. CSF hypovolemia may precipitate CVT in patients having prothrombotic risk factors. Patients who have or had CSF leaks and/or lumbar CSF drains who present with symptoms of intracranial CSF hypotension should remain in the horizontal position to prevent CVT. In that context, the diagnosis of CVT depends on a high degree of suspicion.
publishDate 2013
dc.date.none.fl_str_mv 2013
2013-01-01T00:00:00Z
2014-01-03T15:27:09Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.4/1621
url http://hdl.handle.net/10400.4/1621
dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv Eur Spine J. 2013 Dec 28. [Epub ahead of print]
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