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The Transformation Of Intracranial Subdural Hygroma To Chronic Subdural Hematoma Following Endoscopic Spinal Surgery: A Case Report London Spine

The London Spine Unit : most established spine hospital in UK

Published article

CONCLUSIONS: We concluded that a spinal cerebrospinal fluid leakage can result in an intracranial subdural hygroma. Intracranial subdural hygromas and hematomas after lumbar spinal surgery should be cautiously assessed and treated.Lumbar Disc Replacement Expert. Best Spinal Surgeon UK

Abstract

Background: We present the case of an intracranial subdural hygroma resulting from intraoperatively undetected dural tear after unilateral biportal endoscopic (UBE) spine surgery for lumbar spinal stenosis.

Case description: An 80-year-old woman presented with insidious onset, gradually progressing low back pain, and right leg pain of 1-year duration. The pain radiated to the right L4-L5 dermatomes. Neurogenic intermittent claudication was <300 m. Motor function was normal. Lumbar magnetic resonance imaging showed a lateral recess stenosis at the L3-L4 and L4-L5 levels. These lesions were operated on by the UBE decompression technique.No major complications were encountered during the operation. But soon we found out that there was an undiscovered dura tear. We placed the patient under close observation for 2 weeks. After 30 days, we confirmed that subdural hygroma had changed to chronic subdural hematoma. Conservative treatment was continued. On postoperative day 90), the condition was stable and the symptoms improved completely.

Conclusions: We concluded that a spinal cerebrospinal fluid leakage can result in an intracranial subdural hygroma. Intracranial subdural hygromas and hematomas after lumbar spinal surgery should be cautiously assessed and treated.

The London Spine Unit : most established spine hospital in UKRead more here:The Transformation of Intracranial Subdural Hygroma to Chronic Subdural Hematoma Following Endoscopic Spinal Surgery: A Case Report

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Candida Mead
Candida Mead
2021-09-09
Laser Cervical spine surgery I received outstanding care from Mr Akmal and his team and would highly recommend them. After trying many non invasive treatments for relentless and debilitating neck and arm pain I was referred to The London Spine Unit. I received a swift diagnosis on my first visit of a C7 herniation and given a reassuring trajectory of possible procedures to relieve my symptoms. Since I had not responded to injections I opted for Laser Cervical Spine Surgery to remove the offending disc, which was performed as a day case. Following the procedure I walked out of the hospital with vastly improved symptoms, within a week I was pain free and 2 and a half months on I continue to feel great. I could not have been in more skilled hands, this is medicine at its best.
Janette Gulleford
Janette Gulleford
2021-09-01
The London Spinal clinic was found on the internet. The London Spinal clinic was found on the net by my daughter in Australia who was not happy with the invasive surgery proposed by my local consultant. She wanted a state of the art treatment which was minimal invasive one day procedure. She found me Mr Mo Aktar, who was well recommended, charming and so helpful. He examined my MRI scan and proposed treatment. He explained that the procedure offered to me he would not recommend because it may weaken the vertebrae. He sent me a 32 page guide with detailed explanation of the recommended procedure which seemed to be cutting edge, From my acceptance I was treated as someone very special with a quick date, For the procedure with sedation local. I went home the same afternoon and was monitored with telephone calls from Dr Lon every day for 3 days, I had a review after 2 weeks and discharge after Six weeks. From two hours after the procedure I have been upright, without pain after two weeks. I cannot recommend the clinic more highly. Janette Gulleford
Sandra Holt
Sandra Holt
2021-07-30
AT LAST OUT OF PAIN Following a nasty fall about eighteen months ago, I sustained the start of a very painful back, It started with pins and needles running up and down my right leg getting progressively worse. The pain became unbearable and after various visits to different professionals I decided to book a consultation with Mr Akmal after reading his testimonials which were all positive online. Mr Akmal was very helpful and put me at my ease immediately. I was very sceptical but felt very confident after talking to him for thirty or so minutes. He suggested three alternatives. Physiotherapy, steroid injections or surgery. Having been in severe pain for so long I decided to opt for surgery. I was admitted at 7.30am and discharged at 6.30pm the same day. I found the nursing staff very kind and professional and made me feel reassured because I was very apprehensive. I cannot fault my treatment. I am so pleased with my treatment there and I can say, without any hesitation that I am now out of pain. I would thoroughly recommend this hospital and also Mr M. Akmal.
Michael Delaney
Michael Delaney
2021-07-28
Balloon Kyphoplasty - Highly recommend. I had a Balloon Kyphoplasty procedure carried out by By Dr M Akmal on the 14th June 2021. Dr Akmal was informative regarding the procedure, risks and everything involved. He is a diligent and caring surgeon. The recovery was quick and any after pain was managed by paracetamol and ibuprofen alone. All staff were professional, open and friendly. Sasha - Dr Akmal's secretary, was brilliant in assisting me prior to the procedure. Dr Yuin Lok assisted me post procedure with aftercare advice and follow up telephone consultations. The procedure was a success and overall I am delighted with the outcome and would recommend the London spine unit and all the staff involved in my procedure to anyone. I previously suffered with a dowager's hump (kyphosis) and have noticed a visible difference in my height and I appear to have regained 2 inch's in my height which has also helped with my breathing, digestion and posture. Many thanks to all those involved. Kind Regards, Mr Delaney
Bernard
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2021-07-19
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Daniel
Daniel
2021-06-28
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Olivia James
Olivia James
2021-06-23
L4/5 Lumbar decompression and dynamic stabilisation. After 4 years of pain and inability to walk far without sitting down to take pressure off my back and leg, Mr Mo Akmal carried out L4/5 decompression and dynamic stabilisation. The relief from the pain was immediate and I was able to walk up straight at last, pain free. The whole process was really easy and straightforward and I was able to leave the hospital the same day. The difference it has made to my life is amazing. Mr Akmal and his team were professional, friendly and kind at every stage. I have no hesitation in recommending their services.
David Marks
David Marks
2021-06-21
Fantastic medical care I was suffering severe pain in my left leg; diagnosed by my GP as nerve related but no painkillers were having any real effect. Armed with an MRI, I saw Mr Akmal who said immediately that he knew what the problem was an recommended a surgical intervention as a guided cortisone injection would only provide temporary respite. The surgery recommended was the insertion of a small piece of titanium between the two vertebrae that were compressing the nerves going into my leg. I was advised that there were risks, although Mr Akmal's experience was that these risk were minimal. Surgery was arranged for the following week. I visited the hospital the day before the date arranged for surgery to have a number of pre-admission tests and all were fine. I came back the following day at 08:00 and was shown to a glass pod and changed for surgery. A local anaesthetic and sedation were administered and I was unaware of anything until I woke up shortly after the procedure. Within three hours of surgery I was walking, albeit somewhat gingerly and my wife collected me by car at 18:15 that evening to take me home. The nursing staff were very caring and helpful. I had clear instructions of what I needed to do in the two weeks after discharge and then saw Mr Akmal and his colleague 15 days later who inspected the wound from the surgery and said that they were satisfied with how I was healing. I would also mention that I had a phone call at from either Mr Akmal or a colleague to check on how I was doing and inviting me to call if if I was worried about anything every day apart from one for the six days after surgery. More importantly, the relief from the extreme pain was instantaneous. I am walking with a better posture and have had minimal soreness from the procedure. Overall, I would say that my experience was exceptional. I felt well looked after by a team expert in the issue and have immediate and a significant improvement in the quality of my life. There is, as I was told there would be, some residual discomfort from the nerve, which I am sure was in trauma and from the relevant muscles but this improves every day
Martin Williams
Martin Williams
2021-06-03
change your life... I've just completed 3 months with Spine Central and set to continue. after using other Chiro's before I can't tell you how much of a level up this is. My overall health, posture and 'lack of back pain' have really opened me up to a better future. being a Dad of a young 3 year old, I can enjoy the time so much with my Boy. thank you Spine Central.
Lisa P
Lisa P
2021-06-01
Mo Akmal & his team at The Spine unit were absolutely fantastic! My mother walked into the hospital in terrible pain & walked out a few hours later pain free ! She is 87 and now feels like 67 ! The attention she got was excellent I would highly recommend!

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Abstract Background: We present the case of an intracranial subdural hygroma resulting from intraoperatively undetected dural tear after unilateral biportal endoscopic (UBE) spine surgery for lumbar spinal stenosis. Case description: An 80-year-old woman presented with insidious onset, gradually progressing low back pain, and right leg pain of 1-year duration. The pain radiated to the right…

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