Journal of Radiology Case Reports, Vol 14, No 2 (2020)

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Remote cerebellar hemorrhage as a complication of lumbar spine surgery

Remote cerebellar hemorrhage as a complication of lumbar spine surgery

Cheryl Hui Shan Lim, Parag Ratnakar Salkade, Cynthia Assimta Peter

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Abstract


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 intra-operative 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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