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Neurol. Med. Chir. (Tokyo) · Mar 2009
Case ReportsRemote cerebellar hemorrhage following thoracic spinal surgery.
- Yoichi Morofuji, Keishi Tsunoda, Tomonori Takeshita, Kentaro Hayashi, Naoki Kitagawa, Kazuhiko Suyama, and Izumi Nagata.
- Department of Neurosurgery, Nagasaki University School of Medicine, Nagasaki, Japan. yoichi51@nagasaki-u.ac.jp
- Neurol. Med. Chir. (Tokyo). 2009 Mar 1;49(3):117-9.
AbstractA 51-year-old man underwent surgery for ossification of the ligamentum flavum at the T9-T10 levels. Intraoperatively, the dura was opened unintentionally and a subcutaneous suction drain was placed. The patient complained of severe headache and nausea postoperatively. Brain computed tomography obtained 3 days after the surgery demonstrated remote cerebellar hemorrhage and hydrocephalus. Suboccipital decompression, C1 laminectomy, and ventriculostomy were performed and his symptoms subsided 2 months later. Remote cerebellar hemorrhage following spinal surgery is extremely rare, but may occur after any type of spinal surgery resulting in dural tear or intradural manipulation. Early diagnosis is particularly important for the treatment of remote cerebellar hemorrhage following spinal surgery.
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