Open AccessRemote Cerebellar Hemorrhage after Lumbar Spinal Surgery
Author(s) -
Taek Kyun Nam,
Seung Won Park,
Byung Kook Min,
Sung Nam Hwang
Publication year - 2009
Publication title -
journal of korean neurosurgical society/journal of korean neurosurgical society/daehan sin'gyeong oegwa hag'hoeji
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.604
H-Index - 34
eISSN - 1598-7876
pISSN - 1225-8245
DOI - 10.3340/jkns.2009.46.5.501
Subject(s) - medicine , surgery , pneumocephalus , spinal surgery , complication , cerebrospinal fluid , lumbar , hematoma , anesthesia , cerebrospinal fluid leak , intracranial hypotension , leak , environmental engineering , engineering
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.