Document Detail


Bilateral remote cerebellar haemorrhage after spinal surgery: A case study and review of the literature.
MedLine Citation:
PMID:  24865277     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Background: Remote cerebellar haemorrhage is a rare and unpredictable complication after intracranial and spinal surgery, although less frequently found in the latter. The physiopathology of this phenomenon has not been definitely explained. Objectives: To describe and discuss the potential implications and pathomechanism of a bilateral remote cerebellar haemorrhage case after spinal surgery and review the literature related to this rare phenomenon. Case report: A 75 year-old man developed bilateral remote cerebellar haemorrhage after a lumbar laminectomy. Brain CT and MRI examinations showed chronic bilateral remote cerebellar haemorrhage, right haemoventricle and bilateral supratentorial subarachnoid haemorrhage. Subsequently, the patient underwent rehabilitation therapy with improvement of symptoms. Conclusion: When large cerebrospinal fluid loss is observed during spinal surgery, brain imaging study should be carried out. The pathogenetic hypothesis of microcirculation vessels tearing, the role of previous spinal surgery and of cerebellar atrophy should be considered and validated with further investigation.
Authors:
Carlo Augusto Mallio; Marco Sarà; Maria Letizia Pistoia; Filomena Occhicone; Yuri Errante; Alessandro Giona; Bruno Beomonte Zobel; Carlo Cosimo Quattrocchi
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-5-27
Journal Detail:
Title:  Brain injury : [BI]     Volume:  -     ISSN:  1362-301X     ISO Abbreviation:  Brain Inj     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-5-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710358     Medline TA:  Brain Inj     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-7     Citation Subset:  -    
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