Unrecognized dural tear during percutaneous endoscopic lumbar surgery confirmed with myelography

Iatrogenic dural tear is usually recognized during the surgery. We describe a rare case of unrecognized dural tear caused by percutaneous endoscopic lumbar surgery at another hospital clearly confirmed with dynamic myelography. Although magnetic resonance imaging of the lumbar spine showed no obviou...

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Detalles Bibliográficos
Autores principales: Takeuchi, Shu, Hanakita, Junya, Takahashi, Toshiyuki, Kanematsu, Ryo, Suda, Izumi, Nakamura, Sho, Minami, Manabu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10333110/
https://www.ncbi.nlm.nih.gov/pubmed/37441450
http://dx.doi.org/10.1016/j.radcr.2023.05.062
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author Takeuchi, Shu
Hanakita, Junya
Takahashi, Toshiyuki
Kanematsu, Ryo
Suda, Izumi
Nakamura, Sho
Minami, Manabu
author_facet Takeuchi, Shu
Hanakita, Junya
Takahashi, Toshiyuki
Kanematsu, Ryo
Suda, Izumi
Nakamura, Sho
Minami, Manabu
author_sort Takeuchi, Shu
collection PubMed
description Iatrogenic dural tear is usually recognized during the surgery. We describe a rare case of unrecognized dural tear caused by percutaneous endoscopic lumbar surgery at another hospital clearly confirmed with dynamic myelography. Although magnetic resonance imaging of the lumbar spine showed no obvious fluid collection suggesting dural tear, dynamic myelography revealed leakage of intradural subarachnoid contrast medium along root sleeve into the intervertebral disc space. In the setting of endoscopic spine surgery, incidental dural tear might be overlooked due to the narrow and fluid-filled surgical field. Dynamic myelography is useful to evaluate the precise condition caused by unrecognized dural tear.
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spelling pubmed-103331102023-07-12 Unrecognized dural tear during percutaneous endoscopic lumbar surgery confirmed with myelography Takeuchi, Shu Hanakita, Junya Takahashi, Toshiyuki Kanematsu, Ryo Suda, Izumi Nakamura, Sho Minami, Manabu Radiol Case Rep Case Report Iatrogenic dural tear is usually recognized during the surgery. We describe a rare case of unrecognized dural tear caused by percutaneous endoscopic lumbar surgery at another hospital clearly confirmed with dynamic myelography. Although magnetic resonance imaging of the lumbar spine showed no obvious fluid collection suggesting dural tear, dynamic myelography revealed leakage of intradural subarachnoid contrast medium along root sleeve into the intervertebral disc space. In the setting of endoscopic spine surgery, incidental dural tear might be overlooked due to the narrow and fluid-filled surgical field. Dynamic myelography is useful to evaluate the precise condition caused by unrecognized dural tear. Elsevier 2023-06-20 /pmc/articles/PMC10333110/ /pubmed/37441450 http://dx.doi.org/10.1016/j.radcr.2023.05.062 Text en © 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Takeuchi, Shu
Hanakita, Junya
Takahashi, Toshiyuki
Kanematsu, Ryo
Suda, Izumi
Nakamura, Sho
Minami, Manabu
Unrecognized dural tear during percutaneous endoscopic lumbar surgery confirmed with myelography
title Unrecognized dural tear during percutaneous endoscopic lumbar surgery confirmed with myelography
title_full Unrecognized dural tear during percutaneous endoscopic lumbar surgery confirmed with myelography
title_fullStr Unrecognized dural tear during percutaneous endoscopic lumbar surgery confirmed with myelography
title_full_unstemmed Unrecognized dural tear during percutaneous endoscopic lumbar surgery confirmed with myelography
title_short Unrecognized dural tear during percutaneous endoscopic lumbar surgery confirmed with myelography
title_sort unrecognized dural tear during percutaneous endoscopic lumbar surgery confirmed with myelography
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10333110/
https://www.ncbi.nlm.nih.gov/pubmed/37441450
http://dx.doi.org/10.1016/j.radcr.2023.05.062
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