Remote Cerebellar Hemorrhage after Lumbar Spinal Surgery
Journal of Korean Neurosurgical Society
; : 501-504, 2009.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-71591
Responsible library:
WPRO
ABSTRACT
Remote cerebellar hemorrhage (RCH) is rare but potentially lethal as a complication of spinal surgery. We recently experienced a case of RCH in a 61-year-old man who showed mental deterioration after lumbar spinal surgery. There was dural tearing with subsequent cerebrospinal fluid (CSF) loss during the surgery. Brain computed tomography scan revealed cerebellar hemorrhage, 3rd and 4th ventricular hemorrhage and pneumocephalus. He underwent suboccipital craniectomy and hematoma removal. The most important pathomechanism leading to RCH after spinal surgery has been known to be venous bleeding due to caudal sagging of cerebellum by rapid leak of large amount of CSF which seems to be related with this case. Dural repair and minimizing CSF loss after intraoperative dural tearing would be helpful to prevent postoperative RCH.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Pneumocephalus
/
Brain
/
Cerebellum
/
Hematoma
/
Hemorrhage
Limits:
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2009
Document type:
Article