Remote Cerebral and Cerebellar Hemorrhage after Massive Cerebrospinal Fluid Leakage.
10.3340/jkns.2012.51.4.240
- Author:
Sung Hye YOU
1
;
Kyu Ri SON
;
Nam Joon LEE
;
Jung Keun SUH
Author Information
1. Department of Radiology, Korea University Anam Hospital, Seoul, Korea. kyurad@gmail.com
- Publication Type:Case Report
- Keywords:
Remote intracranial hemorrhage;
Cerebrospinal fluid leakage;
Spinal surgery
- MeSH:
Brain;
Diagnostic Imaging;
Headache;
Hemorrhage;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Neurologic Manifestations;
Temporal Lobe
- From:Journal of Korean Neurosurgical Society
2012;51(4):240-243
- CountryRepublic of Korea
- Language:English
-
Abstract:
Dural tears can occur during spinal surgery and may lead to cerebrospinal fluid (CSF) leakage which is rarely involved in remote cerebellar hemorrhage. Only a few of cases of simultaneous cerebral and cerebellar hemorrhage have been reported in the English literature. We experienced a case of multiple remote cerebral and cerebellar hemorrhages in a 63-year-old man who exhibited no significant neurologic deficits after spinal surgery. Magnetic resonance imaging (MRI) performed 4 days after the surgery showed a large amount of CSF leakage in the lumbosacral space. The patient underwent the second surgery for primary repair of the dural defect, but complained of headache after dural repair surgery. Brain MRI taken 6 days after the dural repair surgery revealed multifocal remote intracerebral and cerebellar hemorrhages in the right temporal lobe and both cerebellar hemispheres. We recommend diagnostic imaging to secure early identification and treatment of this complication in order to prevent serious neurologic deficits.
