Cerebellar hemorrhage as a complication of spine surgery
| Autor: | Paulo Valdeci Worm, Ericson Sfreddo, Guilherme Gago, Amauri Dalla-Corte, Gerson Perondi, Pablo Ramon Fruett da Costa, Albert Vincent Berthier Brasil, Antônio Delacy Martini Vial |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Diplopia
Ventriculostomy medicine.medical_specialty spinal surgery business.industry medicine.medical_treatment Respiratory arrest remote cerebellar hemorrhage Urinary incontinence Review Article Dysphagia Surgery Case report medicine Neurology (clinical) medicine.symptom Age of onset Complication Strabismus business cerebrospinal fluid leak |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2229-5097 |
| Popis: | Background: The association between remote cerebellar hematoma (RCH) and spinal surgery is poorly understood and rarely reported. We present seven cases of RCH after spinal surgery. Methods: Seven patients were diagnosed with RCH utilizing computed tomography and/or magnetic resonance, between 2012 and 2016. Their clinical presentations, imaging data, treatment modalities, and outcome were analyzed. There were five females and two males with an average age of 55.8 ± 8.4 years. The age of onset ranged from 43 to 67 years and the time to clinical presentation ranged from 3 h to 5 days. Patients presented with: diplopia/strabismus (one patient), dysphagia/urinary incontinence (one patient), respiratory arrest (one patient), meningismus (one patient), and dysarthria (two patients), along with other symptoms/signs. Results: Three patients were successfully managed without surgery, two required external ventricular drainage, and two were treated with posterior fossa decompression plus ventriculostomy. Four patients recovered completely, two showed mild residual deficits at discharge, while one expired 7 days postoperatively. Conclusion: RCH is an uncommon and underdiagnosed complication of spine surgery. It should be suspected when intracranial symptoms occur after spinal procedures. |
| Databáze: | OpenAIRE |
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