<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-2448</journal-id>
<journal-title><![CDATA[Acta Medica Colombiana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Med Colomb]]></abbrev-journal-title>
<issn>0120-2448</issn>
<publisher>
<publisher-name><![CDATA[Asociacion Colombiana de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-24482021000400058</article-id>
<article-id pub-id-type="doi">10.36104/amc.2021.2094</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Subdural hematoma following lumbar spine surgery]]></article-title>
<article-title xml:lang="es"><![CDATA[Hematoma subdural posterior a cirugía de columna lumbar]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[GIRALDO-OCAMPO]]></surname>
<given-names><![CDATA[CHRISTIAN CAMILO]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[GARCÍA-PASICHANA]]></surname>
<given-names><![CDATA[BAYRON DAVID]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Tecnológica de Pereira  ]]></institution>
<addr-line><![CDATA[Pereira ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>46</volume>
<numero>4</numero>
<fpage>58</fpage>
<lpage>59</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-24482021000400058&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-24482021000400058&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-24482021000400058&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The occurrence of subdural hematomas following lumbar spine surgical procedures is a rare complication, but one with a high burden of morbidity and mortality, and despite an incidence rate of around 1%, it is a complication which must be considered in this group of patients. We present the case of a male patient, in the fourth decade of life, with a history of neurofibromatosis and spastic quadriparesis, who developed an altered state of consciousness following lumbar tumor resection, ending in a coma. A simple cranial CAT showed evidence of an acute right subdural hematoma which had to be drained via a craniotomy. He had an unsatisfactory postoperative course and died in the intensive care unit due to ARDS. The national literature has little information on this complication, therefore we believe that this case is an important contribution to the literature. (Acta Med Colomb 2021; 46. DOI:https://doi.org/10.36104/amc.2021.2094).]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La aparición de hematoma subdural posterior a procedimientos quirúrgicos a nivel lumbar es una complicación infrecuente, pero con alta carga de morbimortalidad y a pesar de que la incidencia ronda el 1% es una complicación a tener en cuenta en este grupo de pacientes. Se presenta el caso de un paciente de sexo masculino, en la cuarta década de la vida, con antecedentes de neurofibromatosis y cuadriparesia espástica, quien posterior a realización de resección de tumor lumbar inicia con alteración del estado de consciencia hasta tornarse comatoso. TAC de cráneo simple con evidencia de hematoma subdural agudo derecho, por lo que requirió ser llevado a craneotomía para drenaje de éste. Evolución posoperatoria insatisfactoria, falleciendo en la unidad de cuidados intensivos a causa de un SDRA. La literatura nacional es corta acerca de la presentación de dicha complicación, por lo que consideramos un aporte importante a la misma. (Acta Med Colomb 2021; 46. DOI:https://doi.org/10.36104/amc.2021.2094).]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[subdural hematoma]]></kwd>
<kwd lng="en"><![CDATA[cerebrospinal fluid]]></kwd>
<kwd lng="en"><![CDATA[spinal surgery]]></kwd>
<kwd lng="es"><![CDATA[hematoma subdural]]></kwd>
<kwd lng="es"><![CDATA[líquido cefalorraquídeo]]></kwd>
<kwd lng="es"><![CDATA[cirugía de columna]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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