Abstract
A 51-year-old man underwent surgery for ossification of the ligamentum flavum at the T9-T10 levels. Intraoperatively, the dura was opened unintentionally and a subcutaneous suction drain was placed. The patient complained of severe headache and nausea postoperatively. Brain computed tomography obtained 3 days after the surgery demonstrated remote cerebellar hemorrhage and hydrocephalus. Suboccipital decompression, C1 laminectomy, and ventriculostomy were performed and his symptoms subsided 2 months later. Remote cerebellar hemorrhage following spinal surgery is extremely rare, but may occur after any type of spinal surgery resulting in dural tear or intradural manipulation. Early diagnosis is particularly important for the treatment of remote cerebellar hemorrhage following spinal surgery.
MeSH terms
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Brain Infarction / etiology
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Brain Infarction / pathology
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Brain Infarction / physiopathology
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Cerebellar Diseases / etiology*
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Cerebellar Diseases / pathology
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Cerebellar Diseases / physiopathology
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Cerebellum / pathology
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Cerebellum / surgery
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Cranial Fossa, Posterior / pathology
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Cranial Fossa, Posterior / surgery
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Decompression, Surgical / adverse effects*
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Dura Mater / injuries*
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Dura Mater / pathology
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Dura Mater / physiopathology
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Epidural Space / pathology
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Epidural Space / surgery
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Headache / etiology
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Humans
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Hydrocephalus / etiology
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Intracranial Hemorrhages / etiology*
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Laminectomy / adverse effects*
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Ligamentum Flavum / pathology
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Ligamentum Flavum / surgery
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Male
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Middle Aged
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Ossification, Heterotopic / pathology
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Ossification, Heterotopic / surgery
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Postoperative Complications / etiology*
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Postoperative Complications / pathology
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Postoperative Complications / physiopathology
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Spinal Canal / pathology
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Spinal Canal / surgery
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Thoracic Vertebrae / pathology
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Thoracic Vertebrae / surgery
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Treatment Outcome
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Ventriculostomy