Remote Hemorrhage in the Cerebellum and Temporal Lobe after Lumbar Spine Surgery
Cerebellar hemorrhage remote from the site of surgery can complicate neurosurgical procedures. However, this complication after lumbar surgery is rare. Furthermore, hemorrhage in both the cerebellum and the temporal lobe after spine surgery is rarer still. Herein we present a case of remote hemorrha...
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/972798 |
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| author | Shotaro Watanabe Seiji Ohtori Sumihisa Orita Kazuyo Yamauchi Yawara Eguchi Yasuchika Aoki Junichi Nakamura Masayuki Miyagi Miyako Suzuki Gou Kubota Kazuhide Inage Takeshi Sainoh Jun Sato Yasuhiro Shiga Koki Abe Kazuki Fujimoto Hiroto Kanamoto Gen Inoue Takeo Furuya Masao Koda Akihiko Okawa Kazuhisa Takahashi Masashi Yamazaki |
| author_facet | Shotaro Watanabe Seiji Ohtori Sumihisa Orita Kazuyo Yamauchi Yawara Eguchi Yasuchika Aoki Junichi Nakamura Masayuki Miyagi Miyako Suzuki Gou Kubota Kazuhide Inage Takeshi Sainoh Jun Sato Yasuhiro Shiga Koki Abe Kazuki Fujimoto Hiroto Kanamoto Gen Inoue Takeo Furuya Masao Koda Akihiko Okawa Kazuhisa Takahashi Masashi Yamazaki |
| author_sort | Shotaro Watanabe |
| collection | DOAJ |
| description | Cerebellar hemorrhage remote from the site of surgery can complicate neurosurgical procedures. However, this complication after lumbar surgery is rare. Furthermore, hemorrhage in both the cerebellum and the temporal lobe after spine surgery is rarer still. Herein we present a case of remote hemorrhage in both the cerebellum and the temporal lobe after lumbar spine surgery. A 79-year-old woman with a Schwannoma at the L4 level presented with low back and bilateral leg pain refractory to conservative management. Surgery was undertaken to remove the Schwannoma and to perform posterior fusion. During the surgery, the dura mater was removed in order to excise the Schwannoma. Reconstruction of the dura mater was performed; postoperatively the patient had a cerebrospinal fluid leak. Five days after surgery, clouding of consciousness started gradually, and hemorrhage in the cerebellum and the temporal lobe was revealed by computed tomography. Emergent evacuation of the hemorrhage was performed and the patient recovered consciousness after the surgery. Leakage of cerebrospinal fluid may have induced this hemorrhage. While rare, intracranial hemorrhage after spine surgery can occur, sometimes requiring emergent intervention. |
| format | Article |
| id | doaj-art-380e5b7c67ea496da88e81ca4f0dd03f |
| institution | OA Journals |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-380e5b7c67ea496da88e81ca4f0dd03f2025-08-20T02:07:57ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/972798972798Remote Hemorrhage in the Cerebellum and Temporal Lobe after Lumbar Spine SurgeryShotaro Watanabe0Seiji Ohtori1Sumihisa Orita2Kazuyo Yamauchi3Yawara Eguchi4Yasuchika Aoki5Junichi Nakamura6Masayuki Miyagi7Miyako Suzuki8Gou Kubota9Kazuhide Inage10Takeshi Sainoh11Jun Sato12Yasuhiro Shiga13Koki Abe14Kazuki Fujimoto15Hiroto Kanamoto16Gen Inoue17Takeo Furuya18Masao Koda19Akihiko Okawa20Kazuhisa Takahashi21Masashi Yamazaki22Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanCerebellar hemorrhage remote from the site of surgery can complicate neurosurgical procedures. However, this complication after lumbar surgery is rare. Furthermore, hemorrhage in both the cerebellum and the temporal lobe after spine surgery is rarer still. Herein we present a case of remote hemorrhage in both the cerebellum and the temporal lobe after lumbar spine surgery. A 79-year-old woman with a Schwannoma at the L4 level presented with low back and bilateral leg pain refractory to conservative management. Surgery was undertaken to remove the Schwannoma and to perform posterior fusion. During the surgery, the dura mater was removed in order to excise the Schwannoma. Reconstruction of the dura mater was performed; postoperatively the patient had a cerebrospinal fluid leak. Five days after surgery, clouding of consciousness started gradually, and hemorrhage in the cerebellum and the temporal lobe was revealed by computed tomography. Emergent evacuation of the hemorrhage was performed and the patient recovered consciousness after the surgery. Leakage of cerebrospinal fluid may have induced this hemorrhage. While rare, intracranial hemorrhage after spine surgery can occur, sometimes requiring emergent intervention.http://dx.doi.org/10.1155/2015/972798 |
| spellingShingle | Shotaro Watanabe Seiji Ohtori Sumihisa Orita Kazuyo Yamauchi Yawara Eguchi Yasuchika Aoki Junichi Nakamura Masayuki Miyagi Miyako Suzuki Gou Kubota Kazuhide Inage Takeshi Sainoh Jun Sato Yasuhiro Shiga Koki Abe Kazuki Fujimoto Hiroto Kanamoto Gen Inoue Takeo Furuya Masao Koda Akihiko Okawa Kazuhisa Takahashi Masashi Yamazaki Remote Hemorrhage in the Cerebellum and Temporal Lobe after Lumbar Spine Surgery Case Reports in Orthopedics |
| title | Remote Hemorrhage in the Cerebellum and Temporal Lobe after Lumbar Spine Surgery |
| title_full | Remote Hemorrhage in the Cerebellum and Temporal Lobe after Lumbar Spine Surgery |
| title_fullStr | Remote Hemorrhage in the Cerebellum and Temporal Lobe after Lumbar Spine Surgery |
| title_full_unstemmed | Remote Hemorrhage in the Cerebellum and Temporal Lobe after Lumbar Spine Surgery |
| title_short | Remote Hemorrhage in the Cerebellum and Temporal Lobe after Lumbar Spine Surgery |
| title_sort | remote hemorrhage in the cerebellum and temporal lobe after lumbar spine surgery |
| url | http://dx.doi.org/10.1155/2015/972798 |
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