scholarly journals Incidence of Remote Cerebellar Hemorrhage in Patients with a Dural Tear during Spinal Surgery: A Retrospective Observational Analysis

2019 ◽  
Vol 3 (2) ◽  
pp. 141-145
Author(s):  
Daisuke Numaguchi ◽  
Keiji Wada ◽  
Mitsuru Yui ◽  
Ryo Tamaki ◽  
Ken Okazaki
Keyword(s):  
Spinal Surgery ◽  
Dural Tear ◽  
Cerebellar Hemorrhage ◽  
Observational Analysis ◽  
Remote Cerebellar Hemorrhage

Remote Cerebellar Hemorrhage after a Spinal Surgery Complicated by Dural Tear: Case Report and Literature Review

2005 ◽  
Vol 57 (suppl_1) ◽  
pp. E215-E215 ◽  
Author(s):  
Oguz Karaeminogullari ◽  
Basar Atalay ◽  
Orcun Sahin ◽  
Metin Ozalay ◽  
Huseyin Demirors ◽  
...  
Keyword(s):  
Spinal Surgery ◽  
Rare Complication ◽  
Brain Parenchyma ◽  
Cerebrospinal Fluid Leakage ◽  
Decompression Surgery ◽  
Unusual Complication ◽  
Dural Tear ◽  
Cerebellar Hemorrhage ◽  
Remote Cerebellar Hemorrhage ◽  
Dural Tears

Abstract OBJECTIVE AND IMPORTANCE: This report presents a case in which cerebellar hemorrhage occurred after lumbar decompression surgery that was complicated by dural tear and prolonged cerebrospinal fluid leakage. Remote cerebellar hemorrhage after spinal surgery is extremely rare. Our objective is to describe this unusual complication, discuss the possible mechanisms of remote cerebellar hemorrhage, and review the literature. CLINICAL PRESENTATION: A 73-year-old woman underwent surgery for lumbar spinal stenosis. A dural tear occurred during decompression, and the patient developed remote cerebellar hemorrhage on postoperative Day 2. INTERVENTION: The cerebellar hemorrhage was treated surgically, and a biopsy of hemorrhagic brain parenchyma revealed an arteriovenous malformation. CONCLUSION: Although it is an extremely rare complication, remote cerebellar hemorrhage should be kept in mind as a possible complication of spinal surgery, especially in operations complicated by dural tears.

scholarly journals Remote Cerebellar Hemorrhage after Lumbar Spinal Surgery

2009 ◽  
Vol 46 (5) ◽  
pp. 501 ◽  
Author(s):  
Taek Kyun Nam ◽  
Seung Won Park ◽  
Byung Kook Min ◽  
Sung Nam Hwang
Keyword(s):  
Spinal Surgery ◽  
Cerebellar Hemorrhage ◽  
Remote Cerebellar Hemorrhage ◽  
Lumbar Spinal Surgery ◽  
Lumbar Spinal

Remote cerebellar hemorrhage after lumbar spinal surgery

2009 ◽  
Vol 70 (1) ◽  
pp. 7-9 ◽  
Author(s):  
Belma Cevik ◽  
Ismail Kirbas ◽  
Banu Cakir ◽  
Kayihan Akin ◽  
Mehmet Teksam
Keyword(s):  
Spinal Surgery ◽  
Cerebellar Hemorrhage ◽  
Remote Cerebellar Hemorrhage ◽  
Lumbar Spinal Surgery ◽  
Lumbar Spinal

Remote Cerebellar Hemorrhage after Spinal Surgery

2010 ◽  
Vol 6 (2) ◽  
pp. 162 ◽  
Author(s):  
Do Keun Kim ◽  
Chong Oon Park ◽  
Seung Hwan Yoon ◽  
Dong Keun Hyun
Keyword(s):  
Spinal Surgery ◽  
Cerebellar Hemorrhage ◽  
Remote Cerebellar Hemorrhage

scholarly journals Remote cerebellar hemorrhage after cervical spinal surgery

2013 ◽  
Vol 76 (10) ◽  
pp. 593-598 ◽  
Author(s):  
Po-Hsien Huang ◽  
Jau-Ching Wu ◽  
Henrich Cheng ◽  
Yang-Hsin Shih ◽  
Wen-Cheng Huang
Keyword(s):  
Spinal Surgery ◽  
Cerebellar Hemorrhage ◽  
Remote Cerebellar Hemorrhage

scholarly journals Remote cerebellar hemorrhage as complication of spinal surgery

2018 ◽  
Vol 22 (3) ◽  
pp. 116-119
Author(s):  
Pedro Radalle Biasi ◽  
Adroaldo Baseggio Mallmann ◽  
Paulo Sérgio Crusius ◽  
Cláudio Albano Seibert ◽  
Marcelo Ughini Crusius ◽  
...  
Keyword(s):  
Spinal Surgery ◽  
Rare Event ◽  
Neurological Deficits ◽  
Lumbar Spine Surgery ◽  
Minor Bleeding ◽  
Pathophysiological Mechanism ◽  
Cerebellar Hemorrhage ◽  
Remote Cerebellar Hemorrhage ◽  
First Case ◽  
Csf Leakage

Introduction: The occurrence of remote cerebellar hemorrhage (RCH) during spinal surgery is a rare event and can go undetected in the majority of cases. A mortality rate of almost 15% has been reported. Case report: We present two cases of patients presenting with cerebellar hemorrhage after lumbar spine surgery complicated with dural rupture. A review of its physiopathological mechanisms is made. In both cases the diagnosis was made during the investigation of neurological deficits in early postoperative period. In the first case, there was dural rupture due to disruption of the pre-existing vertebral osteosynthesis material. In the second case, the existence of a dural fistula was noticed after the procedure, responsible for the cerebrospinal fluid (CSF) leakage. Neuroimaging studies of two patients showed the classic “zebra-sign”. Expectant treatment was applied in both cases, with complete recovery of symptoms. Discussion: The pathophysiological mechanism of RCH is still unknown, but it’s supposed that it is due to intracranial hypotension caused by CSF leakage, which causes a caudal displacement of the cerebellum, that might lead to stretching and disruption of the vermian veins. Expectanttreatment can be applied in cases of minor bleeding, with surgical evacuation in cases of major bleeds. Prognosis is usually favorable, with minor transient neurological deficits. 

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