Two cases of supratentorial lobar intracranial hemorrhage following lumbar decompression and stabilization
| Autor: | Michael P. Steinmetz, Vikram Chakravarthy, Iain H. Kalfas, Mark Bain, Ahmed Kashkoush |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Lobar hemorrhage medicine.medical_specialty Decompression Case Report Intracranial hemorrhage Durotomy 03 medical and health sciences 0302 clinical medicine Lumbar Lumbar surgery Lumbar spine surgery medicine cardiovascular diseases Cerebrospinal fluid leak business.industry Instrumented fusion Dural tear Subdural Hematomas medicine.disease Spine nervous system diseases Surgery 030220 oncology & carcinogenesis Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2152-7806 |
| DOI: | 10.25259/sni_271_2021 |
| Popis: | Background: Lumbar spine surgery with or without intraoperative dural tear (DT) may contribute to postoperative subdural hematomas and/or cerebellar intracranial hemorrhages (ICHs). Here, we present two patients, one with and one without an intraoperative DT occurring during lumbar surgery, both of whom developed acute postoperative supratentorial ICHs. Case Description: Two patients developed supratentorial lobar ICH following lumbar decompressions and fusion. The first patient, without an intraoperative DT, developed multiple ICHs involving the left cerebellum and left temporal lobe. The second patient, following an L4-5 decompression/instrumented fusion involving a DT, postoperatively developed a large right frontal ICH. Conclusion: Here, two patients undergoing lumbar spine surgery with/without DT subsequently developed significant ICH. |
| Databáze: | OpenAIRE |
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