Remote Cerebral and Cerebellar Hemorrhage after Spinal Surgery: A Case Report and Literature Review

Autor: Kaksi, Mustafa, Basaran, Recep, Bolukbasi, Fatih Han, Balkuv, Ece, Balak, Naci
Přispěvatelé: Kaksi, Mustafa Eyup State Hosp, Dept Neurosurg, Istanbul, Turkey, Basaran, Recep Dr Lutfi Kirdar Kartal Educ & Res Hosp, Dept Neurosurg, Istanbul, Turkey, Bolukbasi, Fatih Han Medipol Univ, Sch Med, Dept Neurosurg, Istanbul, Turkey, Balkuv, Ece Goztepe Educ & Res Hosp, Dept Neurol, Istanbul, Turkey, Balak, Naci Goztepe Educ & Res Hosp, Dept Neurosurg, Istanbul, Turkey, Basaran, Recep -- 0000-0001-5186-1116, Balak, Naci -- 0000-0002-2395-0004
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Popis: WOS: 000351690100027 Introduction: Remote cerebral or cerebellar hemorrhage is a term used to describe hemorrhage that occurs secondary to different surgical procedures in various areas of body. Intracranial hemorrhages that occur after spinal surgeries are extremely rare. In this article, we aimed to present our experience on remote cerebellar and accompanying cerebral hemorrhage. Case: We present a 73 years old male patient complaining from back pain, bilateral radicular pain and neurological claudication. There were spinal stenosis and disc herniations on levels of L4-5, L5-S1 on MRI. We performed a posterior stabilization, surgery for spinal stenosis and disc herniation that lead to dural defect. We repaired dura and formed a fibrin barrier. Postoperatively, the patient developed a hemiparesis (3/5) on his right side. On CT scan, left parietal and right cerebellar intraparenchymal hemorrhage has been detected. We performed a total evacuation of the hematoma. Conclusion: It should be remembered that during or following spinal surgeries remote infratentorial and accompanying supratentorial hemorrhages can occur due to cerebrospinal fluid leakages, possibly in elderly patients. Early and definite diagnosis is the most precious step for treatment.
Databáze: OpenAIRE