Remote cerebellar hemorrhage caused by undetected dural tear after lumbar spinal surgery.
Rev Esp Cir Ortop Traumatol (Engl Ed) 2017;
62:228-230. [PMID:
28882465 DOI:
10.1016/j.recot.2017.06.006]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2017] [Revised: 05/08/2017] [Accepted: 06/21/2017] [Indexed: 12/01/2022] Open
Abstract
Remote cerebellar haemorrhage is a rare but serious complication after spinal surgery. Although the mechanism is not well known, it always occurs after loss of cerebrospinal fluid due to dural tear, not always identified, which produces remote venous bleeding. Prognosis depends largely on the severity of this bleeding. We report a case of 67-year-old female who suffered a cerebellar and subarachnoid haemorrhage and subdural haematoma after elective lumbar fusion surgery and eventually required decompressive craniectomy.
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