• Neurosurgery · Jul 2005

    Review Case Reports

    Remote cerebellar hemorrhage after a spinal surgery complicated by dural tear: case report and literature review.

    • Oguz Karaeminogullari, Basar Atalay, Orcun Sahin, Metin Ozalay, Huseyin Demirors, Cengiz Tuncay, Ozlem Ozen, and Reha Tandogan.
    • Department of Orthopedics and Traumatology, Baskent University, Ankara, Turkey. oguzk@baskent-ank.edu.tr
    • Neurosurgery. 2005 Jul 1; 57 (1 Suppl): E215; discussion E215.

    Objective And ImportanceThis report presents a case in which cerebellar hemorrhage occurred after lumbar decompression surgery that was complicated by dural tear and prolonged cerebrospinal fluid leakage. Remote cerebellar hemorrhage after spinal surgery is extremely rare. Our objective is to describe this unusual complication, discuss the possible mechanisms of remote cerebellar hemorrhage, and review the literature.Clinical PresentationA 73-year-old woman underwent surgery for lumbar spinal stenosis. A dural tear occurred during decompression, and the patient developed remote cerebellar hemorrhage on postoperative Day 2.InterventionThe cerebellar hemorrhage was treated surgically, and a biopsy of hemorrhagic brain parenchyma revealed an arteriovenous malformation.ConclusionAlthough it is an extremely rare complication, remote cerebellar hemorrhage should be kept in mind as a possible complication of spinal surgery, especially in operations complicated by dural tears.

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