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Such findings have typically been associated with intraoperative durotomies that are complicated by a subsequent cerebrospinal fluid (CSF) leak.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The patient is a 17-year-old boy with a complex past medical history who received an uncomplicated S1\u20132 laminectomy for repair of his closed neural tube defect (CNTD), cord untethering, and resection of a lipomatous malformation. He returned to the hospital with consistent headaches and a 2-day history of intermittent left-sided weakness. Imaging demonstrated multiple subdural collections without a surgical site pseudomeningocele.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>The case was unique because there have been no documented cases of acute intracranial SDH after CNTD repair. There was no CSF leak, and spine imaging did not demonstrate any evidence of pseudomeningocele. The authors believed that intraoperative CSF loss may have created enough volume depletion to cause tearing of bridging veins. In younger adolescents, it is possible that an even smaller volume may cause similar effects. Additionally, the authors\u2019 case involved resection of the lipomatous malformation and an expansile duraplasty. Hypothetically, both can increase the lumbar cisternal compartment, which can collect a larger amount of CSF with gravity, despite no pseudomeningocele being present.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case21159","type":"journal-article","created":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T03:03:10Z","timestamp":1626058990000},"source":"Crossref","is-referenced-by-count":2,"title":["Intracranial subdural hemorrhage following closed neural tube defect repair: illustrative case"],"prefix":"10.3171","volume":"2","author":[{"given":"Stacey","family":"Podkovik","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Riverside University Health System, Riverside, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathon","family":"Cavaleri","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Southern California, Los Angeles, California; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carli","family":"Bullis","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Children\u2019s Hospital of Los Angeles, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Durham","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Children\u2019s Hospital of Los Angeles, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"Pain Physician","doi-asserted-by":"publisher","first-page":"97","DOI":"10.36076\/ppj.2008\/11\/97","article-title":"Subdural hematoma following spinal cord stimulator implant","volume":"11","author":"Chiravuri S","year":"2008","unstructured":"Chiravuri S, Wasserman R, Chawla A, Haider N. 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