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.