Intracranial Embolism After a Dural Tear in Endoscopic Spine Surgery: A Case Report

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Authors: Jae Won Shin ; Si Young Park ; Hak Sun Kim ; Kyung Soo Suk ; Seong Hwan Moon ; Dong Hee Ye

MeSH: Aged, 80 and over ; Decompression, Surgical* / adverse effects ; Dura Mater* / injuries ; Endoscopy* / adverse effects ; Female ; Humans ; Intracranial Embolism* / diagnostic imaging ; Intracranial Embolism* / etiology ; Lumbar Vertebrae / surgery ; Magnetic Resonance Imaging ; Postoperative Complications* / diagnostic imaging ; Postoperative Complications* / etiology ; Spinal Fusion* / adverse effects

Keywords: biportal endoscopic decompression ; brain MRI ; cerebrospinal fluid leakage ; complication ; dural tear ; embolic infarction ; endoscopic spine surgery ; intracranial embolism ; intracranial hypotension ; lumbar spine ; postoperative monitoring ; seizure ; spinal decompression surgery

Abstract: Case: An 87-year-old female patient with a history of lumbar fusion at L4-S1 presented with progressive stenosis at L2-3 and L3-4 and underwent biportal endoscopic decompression. Intraoperatively, a 0.7-cm dural tear was noted at L3-4. Postoperatively, the patient developed agitation, tachypnea, tachycardia, and seizure-like activity, necessitating reintubation and admission to the intensive care unit. Immediate brain magnetic resonance imaging revealed intracranial embolism.

Conclusion: In endoscopic spine surgery, preventing and managing complications from dural tear-related intracranial embolisms is vital.

Full Text: https://journals.lww.com/jbjscc/fulltext/2025/09000/intracranial_embolism_after_a_dural_tear_in.34.aspx

Appears in Collections:: 1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers

Yonsei Authors: Kim, Hak Sun(김학선) https://orcid.org/0000-0002-8330-4688
Moon, Seong Hwan(문성환)
Park, Si Young(박시영)
Suk, Kyung Soo(석경수) https://orcid.org/0000-0003-0633-2658

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