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http://dx.doi.org/10.3340/jkns.2009.46.5.501

Remote Cerebellar Hemorrhage after Lumbar Spinal Surgery  

Nam, Taek-Kyun (Department of Neurosurgery, Chung-Ang University Yongsan Hospital)
Park, Seung-Won (Department of Neurosurgery, Chung-Ang University Yongsan Hospital)
Min, Byung-Kook (Department of Neurosurgery, Chung-Ang University Yongsan Hospital)
Hwang, Sung-Nam (Department of Neurosurgery, Chung-Ang University Yongsan Hospital)
Publication Information
Journal of Korean Neurosurgical Society / v.46, no.5, 2009 , pp. 501-504 More about this Journal
Abstract
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.
Keywords
Remote cerebellar hemorrhage; Spinal surgery; Dural tear; Cerebrospinal fluid leakage;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
Times Cited By Web Of Science : 3  (Related Records In Web of Science)
Times Cited By SCOPUS : 2
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