Cerebral Vein Thrombosis Following Tethered Cord Release Surgery: A Case Report

Abstract

Introduction: Cerebral vein thrombosis (CVT) is a rare yet critical condition characterized by blood clot formation within the cerebral venous system. While typically associated with various predisposing factors, such as prothrombotic disorders and hormonal contraceptives, its occurrence following spinal cord detethering surgery is exceptionally rare. Case Presentation: We present the case of a 26-year-old woman who developed CVT shortly after undergoing spinal cord detethering surgery for tethered spinal cord syndrome. Following surgery, the patient experienced persistent headaches, eventually leading to generalized tonic-clonic seizures. Imaging studies revealed evidence of hemorrhagic infarction caused by thrombosis. Prompt initiation of anticoagulation therapy resulted in successful resolution of the thrombus and complete recovery of the patient. Conclusions: This case highlights the importance of considering CVT as a possible complication following spinal cord surgery, particularly in patients with underlying risk factors. Early recognition and appropriate management, including anticoagulant therapy, are crucial for favorable outcomes in these patients.