• Ralf G Hempelmann and Eckhardt Mater.
• Department of Neurosurgery and Spine Surgery, ENDO-Klinik, Holstenstraße 2, 22767, Hamburg, Germany. ralf.hempelmann@damp.de
• Eur Spine J. 2012 Jun 1;21 Suppl 4:S564-8.

IntroductionIntracranial haemorrhage is a rare complication of spinal surgery. Three cases of cerebral or cerebellar haemorrhages following spinal operations with CSF loss are reported, and the literature was reviewed.Case PresentationsOne patient suffered from melancholy after the operation, one patient had moderate headache and nausea, and the third patient suffered from mental confusion and anxiety. The intracranial haemorrhages were treated conservatively. All patients recovered from the bleedings.ResultsThe cases show that cerebral or cerebellar haemorrhage after spinal CSF loss may be accompanied by minor or rather untypical clinical symptoms.ConclusionThe dangerous complication of intracranial haemorrhage has to be kept in mind when patients have moderate cerebral symptoms after CSF loss due to spinal operations.

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