Intracranial epidural haematoma following surgical removal of a giant lumbosacral schwannoma: a case report and literature review.

Nemir, Jakob and Peterković, Vjerislav and Trninić, Ines and Domazet, Ivan and Barić, Hrvoje and Vukić, Miroslav (2018) Intracranial epidural haematoma following surgical removal of a giant lumbosacral schwannoma: a case report and literature review. Pediatric Neurosurgery, 53 (2). pp. 89-93. ISSN 1016-2291

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Abstract

Postoperative intracranial epidural haematoma (EDH) is an extremely rare complication following spinal surgery, with only a handful of cases described in the literature. We report the case of a 16-year-old girl who underwent a successful subtotal resection of a giant lumbosacral schwannoma (L2-S2 level). Recovery from general anaesthesia was uneventful; however, her neurological status deteriorated rapidly within 24 h after surgery. A head computed tomography scan revealed a large right frontoparietal EDH with midline shift. An immediate frontotemporoparietal osteoplastic craniotomy and evacuation of the EDH were performed. At 1 year postoperatively, the patient regained full neurological recovery with no radiological signs of growth of the residual tumour.

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