Remote Hemorrhage in the Cerebellum and Temporal Lobe after Lumbar Spine Surgery

Case Reports in Orthopedics
Shotaro WatanabeMasashi Yamazaki

Abstract

Cerebellar hemorrhage remote from the site of surgery can complicate neurosurgical procedures. However, this complication after lumbar surgery is rare. Furthermore, hemorrhage in both the cerebellum and the temporal lobe after spine surgery is rarer still. Herein we present a case of remote hemorrhage in both the cerebellum and the temporal lobe after lumbar spine surgery. A 79-year-old woman with a Schwannoma at the L4 level presented with low back and bilateral leg pain refractory to conservative management. Surgery was undertaken to remove the Schwannoma and to perform posterior fusion. During the surgery, the dura mater was removed in order to excise the Schwannoma. Reconstruction of the dura mater was performed; postoperatively the patient had a cerebrospinal fluid leak. Five days after surgery, clouding of consciousness started gradually, and hemorrhage in the cerebellum and the temporal lobe was revealed by computed tomography. Emergent evacuation of the hemorrhage was performed and the patient recovered consciousness after the surgery. Leakage of cerebrospinal fluid may have induced this hemorrhage. While rare, intracranial hemorrhage after spine surgery can occur, sometimes requiring emergent intervention.

References

Aug 1, 1981·Neurosurgery·W M Chadduck
May 23, 2002·Neurosurgery·Jonathan A FriedmanDerek A Duke
Jan 28, 2005·Anesthesia and Analgesia·Ehab FaragArmin Schubert
Jul 12, 2005·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·Deniz KonyaM Necmettin Pamir
Feb 26, 2008·European Journal of Radiology·Belma CevikMehmet Teksam
Apr 9, 2008·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hiroyuki HashidateHiroyuki Kato
Dec 31, 2009·Journal of Korean Neurosurgical Society·Taek Kyun NamSung Nam Hwang
Jul 30, 2010·Turkish Neurosurgery·Sanser GulBektas Acikgoz
Feb 22, 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·Mahmoud Reza KhalatbariYashar Moharamzad
Apr 25, 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·Ralf G Hempelmann, Eckhardt Mater
Oct 15, 2013·Archives of Orthopaedic and Trauma Surgery·J M Cavanilles-WalkerM Kröber

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