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Brain shift occurs when the dura is opened, cerebrospinal fluid leaks out, and the brain either shrinks or swells.
The brain showed extensive postsurgical changes, including a small occipital subdural hematoma, sutures within the dura , and a ventriculostomy tract in each frontal lobe.
We report a case of prominent pigment deposition in the dura mater of the brain.
In addition, an intra-operative lumbar spinal drain was used to facilitate atraumatic dural elevation and temporal lobe retraction.
The dural covering of the spinal cord also showed pigmentation adjacent to intervertebral disk.
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