Seizure and delayed emergence from anesthesia resulting from remote cerebellar hemorrhage after lumbar spine surgery -A case report-
نویسندگان
چکیده
A patient with remote cerebellar hemorrhage (RCH) who was presented at the authors' hospital with seizure and delayed emergence from anesthesia after loss of cerebrospinal fluid (CSF) through a dural tear during lumbar spine surgery is described. RCH is a rare and unpredictable complication after spinal surgery. Its most common clinical features are diminished consciousness, headache, and seizure. Its mechanism is still disputed, but is probably venous bleeding secondary to significant intra- or post-operative loss of CSF. Therefore, RCH must be considered in patients with unexplained mental deterioration or disturbance upon emergence and seizure from general anesthesia after spine surgery.
منابع مشابه
Immediate Remote Cerebellar Hemorrhage and Seizure Following Revision Lumbosacral Fusion
Cerebellar hemorrhage (CH) is a rare but devastating complication following spine surgery. It is associated with a compromise to dura integrity and typically has a delayed post-operative onset. Here, we describe a patient who suffered a CH that presented with a generalized tonic-clonic (GTC) seizure immediately after a revision lumbar fusion. The patient did not regain consciousness from anesth...
متن کاملRemote Cerebellar Hemorrhage after Revision Lumbar Spine Surgery
Study Design Case report. Objective To report a case of remote cerebellar hemorrhage (RCH) without intraoperative dural tear after revision lumbar spine surgery. RCH is a rare postoperative complication following spine surgery. RCH has previously been reported only in cases with intraoperative dural tear or durotomy. Methods Case report and literature review. Results A 58-year-old woman underwe...
متن کاملRemote Cerebellar Hemorrhage after Surgery for Degenerative Lumbar Spine Disease: A Case Report
Spine surgery has been increased as the population ages, but the occurrence of unusual complication such as remote cerebellar hemorrhage (RCH) is not well understood. We recently experienced a case of RCH in a 60-year-old woman showed neurologic dysfunction after degenerative lumbar spine surgery. There was no definite dural tearing and cerebrospinal fluid (CSF) loss during operation. Brain mag...
متن کاملRemote Hemorrhage in the Cerebellum and Temporal Lobe after Lumbar Spine Surgery
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 w...
متن کاملRemote cerebellar hemorrhage after microsurgical clipping of intracranial aneurysms: diagnosis and treatment a review of 13 cases
Objective: Case reports and retrospective review of remote cerebellar hemorrhage after microsurgical clipping of intracranial aneurysms. Methods: The medical and pathologic records were reviewed of 13 patients with remote cerebellar hemorrhage occurred after microsurgical clipping of intracranial aneurysms procedure during 2013-2014. Clinical symptoms, pathological mechanisms, treatments, and p...
متن کامل