Remote Cerebellar Hemorrhage after Lumbar Spinal Surgery
- Authors
- Nam, Taek Kyun; Park, Seung Won; Min, Byung Kook; Hwang, Sung Nam
- Issue Date
- Nov-2009
- Publisher
- KOREAN NEUROSURGICAL SOC
- Keywords
- Remote cerebellar hemorrhage; Spinal surgery; Dural tear; Cerebrospinal fluid leakage
- Citation
- JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, v.46, no.5, pp 501 - 504
- Pages
- 4
- Journal Title
- JOURNAL OF KOREAN NEUROSURGICAL SOCIETY
- Volume
- 46
- Number
- 5
- Start Page
- 501
- End Page
- 504
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/22927
- DOI
- 10.3340/jkns.2009.46.5.501
- ISSN
- 2005-3711
1598-7876
- 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
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