Remote cerebellar hemorrhage as a complication of lumbar spine surgery.

J Radiol Case Rep 2020 Feb 29;14(2):1-11. Epub 2020 Feb 29.

Department of Radiology, Sengkang General Hospital, Singapore, Singapore.

Remote cerebellar hemorrhage (RCH) is a rare yet potentially fatal complication of supratentorial and spinal surgery, where there has been either intentional or accidental breach of the dura. We present a case of RCH following a L4-5 decompression laminectomy complicated by an intraoperative dural tear which was detected and repaired at the time of surgery. Despite prompt intra-operative repair of the dura, there was persistent cerebrospinal fluid leak as evidenced by a high subfascial epidural drain output which resulted in bilateral intraparenchymal cerebellar hemorrhage. The patient was managed conservatively and recovered without neurological deficits.

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Source
http://dx.doi.org/10.3941/jrcr.v14i2.3844DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060016PMC
February 2020

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