Remote cerebellar hemorrhage as an early and potentially lethal complication of a discal lumbar herniation surgery

V Royon; C Rabehenoina; F Tourrel; V Compère; B Dureuil

doi:10.1016/j.annfar.2013.12.009

Remote cerebellar hemorrhage as an early and potentially lethal complication of a discal lumbar herniation surgery

Ann Fr Anesth Reanim. 2014 Jan;33(1):e19-21. doi: 10.1016/j.annfar.2013.12.009. Epub 2014 Jan 15.

Authors

V Royon¹, C Rabehenoina², F Tourrel³, V Compère³, B Dureuil³

Affiliations

¹ 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.
² Service de Neurochirurgie, Centre Hospitalier Universitaire de Rouen, 76031 Rouen, France.
³ Département d'Anesthésie-Réanimation Chirurgicale, Centre Hospitalier Universitaire de Rouen, 1, rue de Germont, 76031 Rouen cedex, France.

PMID: 24439492
DOI: 10.1016/j.annfar.2013.12.009

Abstract

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.

Keywords: Hernie discale lombaire; Hypotension intracrânienne; Hématome cérébelleux; Intracranial hypotension; Lumbar disc herniation; Remote cerebellar hemorrhage.

Publication types

Case Reports

MeSH terms

Brain / diagnostic imaging
Cerebellar Diseases / etiology*
Cerebellar Diseases / therapy*
Cerebrospinal Fluid Leak
Cerebrospinal Fluid Rhinorrhea / etiology
Female
Glasgow Coma Scale
Glasgow Outcome Scale
Humans
Intervertebral Disc Displacement / surgery*
Intracranial Hemorrhages / therapy*
Lumbar Vertebrae / surgery*
Middle Aged
Orthopedic Procedures / adverse effects
Postoperative Complications / therapy*
Tomography, X-Ray Computed
Treatment Outcome