Two cases of supratentorial lobar intracranial hemorrhage following lumbar decompression and stabilization.
Cerebrospinal fluid leak
Durotomy
Intracranial hemorrhage
Lobar hemorrhage
Lumbar surgery
Spine
Journal
Surgical neurology international
ISSN: 2229-5097
Titre abrégé: Surg Neurol Int
Pays: United States
ID NLM: 101535836
Informations de publication
Date de publication:
2021
2021
Historique:
received:
15
03
2021
accepted:
07
04
2021
entrez:
4
6
2021
pubmed:
5
6
2021
medline:
5
6
2021
Statut:
epublish
Résumé
Lumbar spine surgery with or without intraoperative dural tear (DT) may contribute to postoperative subdural hematomas and/or cerebellar intracranial hemorrhages (ICHs). Here, we present two patients, one with and one without an intraoperative DT occurring during lumbar surgery, both of whom developed acute postoperative supratentorial ICHs. Two patients developed supratentorial lobar ICH following lumbar decompressions and fusion. The first patient, without an intraoperative DT, developed multiple ICHs involving the left cerebellum and left temporal lobe. The second patient, following an L4-5 decompression/instrumented fusion involving a DT, postoperatively developed a large right frontal ICH. Here, two patients undergoing lumbar spine surgery with/without DT subsequently developed significant ICH.
Sections du résumé
BACKGROUND
BACKGROUND
Lumbar spine surgery with or without intraoperative dural tear (DT) may contribute to postoperative subdural hematomas and/or cerebellar intracranial hemorrhages (ICHs). Here, we present two patients, one with and one without an intraoperative DT occurring during lumbar surgery, both of whom developed acute postoperative supratentorial ICHs.
CASE DESCRIPTION
METHODS
Two patients developed supratentorial lobar ICH following lumbar decompressions and fusion. The first patient, without an intraoperative DT, developed multiple ICHs involving the left cerebellum and left temporal lobe. The second patient, following an L4-5 decompression/instrumented fusion involving a DT, postoperatively developed a large right frontal ICH.
CONCLUSION
CONCLUSIONS
Here, two patients undergoing lumbar spine surgery with/without DT subsequently developed significant ICH.
Identifiants
pubmed: 34084648
doi: 10.25259/SNI_271_2021
pii: 10.25259/SNI_271_2021
pmc: PMC8168694
doi:
Types de publication
Case Reports
Langues
eng
Pagination
221Informations de copyright
Copyright: © 2021 Surgical Neurology International.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
J Orthop Sci. 2008 Mar;13(2):150-4
pubmed: 18392920
Spine (Phila Pa 1976). 2002 Sep 15;27(18):E410-2
pubmed: 12634578
J Neurosurg. 2001 Jan;94(1 Suppl):150-3
pubmed: 11147853
J Neurosurg Spine. 2013 Sep;19(3):370-80
pubmed: 23848351
Eur Spine J. 2012 Oct;21(10):2091-6
pubmed: 22349967
J Korean Neurosurg Soc. 2012 Apr;51(4):240-3
pubmed: 22737308
Eur Spine J. 2012 Jun;21 Suppl 4:S564-8
pubmed: 22526701