Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Pediatric Surgery
- Urology
- General Surgery
- Breast Surgery
- Ophthalmic Surgery
- Cardiovascular Surgery
- Colon and Rectal Surgery
- Neurological Surgery
Abstract
Citation: Clin Surg. 2018;3(1):2200.Case Report | Open Access
Remote Cerebellar Hemorrhage after Thoracic Spinal Surgery with Moderate CSF Loss: A Case Report and Review of the Literature
Cui Zhi-ming
Department of Spine Surgery, The Second Affiliated Hospital of Nantong University, China
*Correspondance to: Cui Zhi-ming
PDF Full Text DOI: 10.25107/2474-1647.2200
Abstract
Remote Cerebellar Hemorrhage (RCH) is an infrequent but serious complication after spinal surgery, and the exact pathogenetic mechanism is unknown. We described A 46-year-old woman underwent surgery for an intradural and extramedullary tumor at T3/4 level while the dura mater was opened intraoperatively with moderate Cerebrospinal Fluid (CSF) leakage. The patient complained of a severe headache and quickly got into unconsciousness a few hours after surgery. The immediate cranial Computed Tomography (CT) showed hemorrhage in the left cerebellar hemisphere. The patient was treated conservatively, and the repeat CT showed the hemorrhage sites was remarkably smaller. Finally, the patient had an acceptable recovery after rehabilitation therapy. Excessive CSF leakage is thought to be a leading cause of RCH. Early diagnosis is particularly important for the management of RCH after spinal surgery.
Keywords
Cerebrospinal fluid leak; Complication; Remote Cerebellar Hemorrhage; Spinal surgery
Cite the article
Zhi-ming C. Remote Cerebellar Hemorrhage after Thoracic Spinal Surgery with Moderate CSF Loss: A Case Report and Review of the Literature. Clin Surg. 2018; 3: 2200.