Intracranial hemorrhage following lumbar spine surgery.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Mahmoud Reza KhalatbariYashar Moharamzad

Abstract

Intracranial hemorrhage is a serious but rare complication of spinal surgery, which can occur in the intracerebral, cerebellar, epidural, or subdural compartment. To describe patients with intracranial hemorrhage after lumbar spinal surgery and present clinical and diagnostic imaging findings. In this retrospective study, medical records of 1,077 patients who underwent lumbar spinal surgery in our tertiary referral neurosurgery center between January 2003 and September 2010 were studied. The original presentations of the patients before the surgical intervention were herniated lumbar disc, spinal canal stenosis, spondylolisthesis, lumbar spinal trauma, and lumbar spine and epidural tumor. The operations performed consisted of discectomy, multiple level laminectomy, stabilization and fusion, lumbar instrumentation, and lumbar spinal and epidural tumor resection. Four cases developed intracranial hemorrhage including acute subdural hematoma (one case), epidural hematoma (one case), and remote cerebellar hemorrhage (two cases). The clinical and diagnostic imaging characteristics along with treatments performed and outcomes of these four patients are described and the pertinent literature regarding post-lumbar spinal surgery intrac...Continue Reading

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Citations

Oct 15, 2013·Archives of Orthopaedic and Trauma Surgery·J M Cavanilles-WalkerM Kröber
Jul 20, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Harinder GakharDenis Calthorpe
Jul 16, 2013·Journal of Neurosurgery. Spine·Paul E KaloostianTimothy F Witham
Sep 18, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Martin H PhamPatrick C Hsieh
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