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late presentation of dural tears:Two case reports and review of literature

World Journal of Clinical Cases 2023年第11期11卷 2464-2473页

作者： Chang Xu Rong-Peng Dong Xue-Liang Cheng Jian-Wu Zhao Department of Orthopedics Jilin Provincial Armed Police Corps HospitalChangchun 130000Jilin ProvinceChina Department of Spinal Surgery The Second Hospital of Jilin UniversityChangchun 130012Jilin ProvinceChina

BACKGROUND The late presentation of dural tears(LPDT)has a low incidence rate and hidden symptoms and is easily ignored in clinical *** the disease is not treated in time,a series of complications may occur,including low intracranial pressure headache,infection,pseudodural cyst formation,and sinus ***,we describe two cases of *** SUMMARY Two patients had sudden fever 1 wk after lumbar *** examination showed obvious tenderness in the operation *** patients were confirmed as having LPDT by lumbar magnetic resonance imaging and surgical *** case was caused by continuous negative pressure suction and malnutrition,and the other was caused by decreased dural ductility and low postoperative nutritional *** first symptom of both patients was fever,with occasional *** patients underwent secondary surgery to treat the *** defects were observed and dural sealants were used to seal the dural defects,then drainage tubes were retained for *** the operation,the patients were treated with antibiotics and the patients’surgical incisions healed well,without fever or incision *** recovered and were discharged 1 wk after the *** LPDT is a rare complication of spinal surgery or neurosurgery that has hidden symptoms and can easily be *** it may cause a series of complic-ations,LPDT needs to be actively addressed in clinical practice.

关键词： late presentation of dural tears Delayed cerebrospinal fluid leakage dural repair Factors Clinical management Case report

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