Remote Cerebral and Cerebellar Hemorrhage after Spinal Surgery: A Case Report and Literature Review

摘要

Introduction: Remote cerebral or cerebellar hemorrhage is a term used to describe hemorrhage that occurs secondary to different surgical procedures in various areas of body. Intracranial hemorrhages that occur after spinal surgeries are extremely rare. In this article, we aimed to present our experience on remote cerebellar and accompanying cerebral hemorrhage.Case: We present a 73 years old male patient complaining from back pain, bilateral radicular pain and neurological claudication. There were spinal stenosis and disc herniations on levels of L4-5, L5-S1 on MRI. We performed a posterior stabilization, surgery for spinal stenosis and disc herniation that lead to dural defect. We repaired dura and formed a fibrin barrier. Postoperatively, the patient developed a hemiparesis (3/5) on his right side. On CT scan, left parietal and right cerebellar intraparenchymal hemorrhage has been detected. We performed a total evacuation of the hematoma.Conclusion: It should be remembered that during or following spinal surgeries remote infratentorial and accompanying supratentorial hemorrhages can occur due to cerebrospinal fluid leakages, possibly in elderly patients. Early and definite diagnosis is the most precious step for treatment.