Remote cerebellar hemorrhage as an early and potentially lethal complication of a discal lumbar herniation surgery.
Remote cerebellar hemorrhage (RCH) is an infrequent but serious complication after lumbar herniation surgery. Little is known about this complication but excessive cerebrospinal fluid (CSF) leakage is thought to be a leading cause of RCH. We describe the case of a patient suffering from a life-threatening RCH, which occurred a few hours after lumbar disc herniation surgery.
Département d'Anesthésie-Réanimation Chirurgicale, Centre Hospitalier Universitaire de Rouen, 1, rue de Germont, 76031 Rouen cedex, France. Electronic address: vincent.royon@chu-rouen.fr.
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Royon
Service de Neurochirurgie, Centre Hospitalier Universitaire de Rouen, 76031 Rouen, France.
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Rabehenoina
Département d'Anesthésie-Réanimation Chirurgicale, Centre Hospitalier Universitaire de Rouen, 1, rue de Germont, 76031 Rouen cedex, France.
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Tourrel
Département d'Anesthésie-Réanimation Chirurgicale, Centre Hospitalier Universitaire de Rouen, 1, rue de Germont, 76031 Rouen cedex, France.
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Compère
Département d'Anesthésie-Réanimation Chirurgicale, Centre Hospitalier Universitaire de Rouen, 1, rue de Germont, 76031 Rouen cedex, France.
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Dureuil
D001921:Brain / Q000000981:diagnostic imaging; D002526:Cerebellar Diseases / Q000209:etiology* / Q000628:therapy*; D065634:Cerebrospinal Fluid Leak; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology; D005260:Female; D015600:Glasgow Coma Scale; D023261:Glasgow Outcome Scale; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D020300:Intracranial Hemorrhages / Q000628:therapy*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000009:adverse effects; D011183:Postoperative Complications / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
Hernie discale lombaire; Hypotension intracrânienne; Hématome cérébelleux; Intracranial hypotension; Lumbar disc herniation; Remote cerebellar hemorrhage