Remote Cerebellar Hemorrhage due to Cerebrospinal Fluid Leakage or Meningitis after Spinal Surgery: Case Report
Journal of Korean Society of Spine Surgery
;
: 31-35, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-14461
ABSTRACT
STUDY DESIGN:
A case report.OBJECTIVES:
To report a rare case of remote cerebellar hemorrhage (RCH) as a complication of spinal surgery. SUMMARY OF LITERATURE REVIEW Remote cerebellar hemorrhage is rare but lethal as a complication of spinal surgery. Interestingly, dural tears and cerebrospinal fluid (CSF) leakage are reported in all published cases of RCH. MATERIALS ANDMETHODS:
A 67-year-old man had posterior lumbar decompression and posterolateral fusion for spinal stenosis at L4/5/S1. Intraoperatively, the dura was torn and there was a loss of CSF. The dural tear was sutured immediately in a water-tight manner. After surgery, the patient complained of headache and dizziness. On postoperative day 44, brain magnetic resonance imaging (MRI) showed meningeal enhancement suggesting meningitis. On postoperative day 54, brain computed tomography (CT) showed cerebellar edema and hemorrhage, and external ventricular derivation was performed.RESULTS:
The patient died.CONCLUSIONS:
Special attention should be paid to prevent dural damage during spinal surgery or minimize CSF leakage in the case of dural damage and tears during spinal surgery, and CT and MRI should be promptly performed for symptomatic patients.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Estenose Espinal
/
Lágrimas
/
Encéfalo
/
Imageamento por Ressonância Magnética
/
Líquido Cefalorraquidiano
/
Descompressão
/
Tontura
/
Edema
/
Cefaleia
/
Hemorragia
Limite:
Idoso
/
Humanos
Idioma:
Inglês
Revista:
Journal of Korean Society of Spine Surgery
Ano de publicação:
2016
Tipo de documento:
Artigo
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