A Rare Complication of Spinal Surgery: Cerebelllar Hemorrhage

Remote cerebellar hemorrhage (RCH) after spinal surgery is encountered extremely rarely. A 64 year-old female patient developed symptoms of deteriorating consciousness and diplopia arising on the first postoperative day after recurrent spinal surgery. Cranial CT scan showed cerebral edema and evidence of a cerebellar hemorrhage. Urgent suboccipital decompressive craniectomy and expanded duraplasty were performed. Repeat CT at 24 h revealed hydrocephalus and an external ventricular drain (EVD) was inserted for 20 days. The patient's consciousness deteriorated after withdrawal of the EVD and a ventriculoperitoneal shunt was placed. The patient recovered completely except for gait ataxia and left foot drop. Although the exact cause is unknown, iatrogenic dural opening resulting in excessive cerebrospinal fluid (CSF) drainage and secondary development of venous infarction have been suggested to lead to RCH.

Dergi Adı TURKISH NEUROSURGERY
Dergi Cilt Bilgisi 20
Dergi Sayısı 3
Sayfalar 413 - 417
Yayın Yılı 2010
Eser Adı
[dc.title]
A Rare Complication of Spinal Surgery: Cerebelllar Hemorrhage
Yazar
[dc.contributor.author]
Gul, Sanser
Yazar
[dc.contributor.author]
Kalayci, Murat
Yazar
[dc.contributor.author]
Acikgoz, Bektas
Yayın Yılı
[dc.date.issued]
2010
Yayıncı
[dc.publisher]
TURKISH NEUROSURGICAL SOC
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Remote cerebellar hemorrhage (RCH) after spinal surgery is encountered extremely rarely. A 64 year-old female patient developed symptoms of deteriorating consciousness and diplopia arising on the first postoperative day after recurrent spinal surgery. Cranial CT scan showed cerebral edema and evidence of a cerebellar hemorrhage. Urgent suboccipital decompressive craniectomy and expanded duraplasty were performed. Repeat CT at 24 h revealed hydrocephalus and an external ventricular drain (EVD) was inserted for 20 days. The patient's consciousness deteriorated after withdrawal of the EVD and a ventriculoperitoneal shunt was placed. The patient recovered completely except for gait ataxia and left foot drop. Although the exact cause is unknown, iatrogenic dural opening resulting in excessive cerebrospinal fluid (CSF) drainage and secondary development of venous infarction have been suggested to lead to RCH.
Açıklama
[dc.description]
WOS: 000280558700021
Açıklama
[dc.description]
PubMed: 20669119
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Cerebrospinal fluid
Konu Başlıkları
[dc.subject]
Drainage
Konu Başlıkları
[dc.subject]
Remote cerebellar hemorrhage
Konu Başlıkları
[dc.subject]
Spinal surgery
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
1019-5149
İlk Sayfa Sayısı
[dc.identifier.startpage]
413
Son Sayfa Sayısı
[dc.identifier.endpage]
417
Dergi Adı
[dc.relation.journal]
TURKISH NEUROSURGERY
Dergi Sayısı
[dc.identifier.issue]
3
Dergi Cilt Bilgisi
[dc.identifier.volume]
20
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/1985
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
7
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
08 Şubat 2024 07:15
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Tıklayınız
patient consciousness cerebellar spinal hemorrhage surgery ataxia except recovered completely deteriorated placed Although withdrawal ventriculoperitoneal Remote secondary suggested infarction venous development drainage cerebrospinal excessive opening iatrogenic unknown resulting hydrocephalus inserted symptoms recurrent postoperative arising diplopia
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