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Inicio Revista Española de Cirugía Ortopédica y Traumatología (English Edition) Intracraneal complications after spinal surgery
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Vol. 62. Issue 2.
Pages 153-156 (March - April 2018)
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Vol. 62. Issue 2.
Pages 153-156 (March - April 2018)
Case report
DOI: 10.1016/j.recote.2017.12.001
Intracraneal complications after spinal surgery
Complicación intracraneal tras cirugía de raquis lumbar
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J.J. Sierraa,
Corresponding author
jorgejuansierra@gmail.com

Corresponding author.
, M. Malillosb
a Cirugía Ortopédica y Traumatología, Hospital San Pedro, Logroño, Spain
b Cirugía Ortopédica y Traumatología, Unidad de Columna, Hospital San Pedro, Logroño, Spain
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Abstract

Intracraneal bleeding is a rare complication after raquis surgery. It is believed to occur as a drop in the intracraneal pressure after a loss of CSF secondary to an iatrogenic dural tear. We report a patient who after surgery for lumbar stenosis presented a subarachnoid haemorrhage, an intraparenchymal haematoma, and a subdural haematoma. To our knowledge, this is the first report in the literature with such complications after this type of surgery.

Keywords:
Dural tear
Lumbar surgery
Post-surgery complication
Intracranial haemorrhage
Resumen

La hemorragia intracraneal es una complicación poco frecuente tras la cirugía de raquis lumbar. Se cree que esta complicación se produce por una caída en la presión intracraneal tras una pérdida de líquido cefalorraquídeo a través de una brecha dural iatrogénica. Presentamos el caso clínico de una paciente que presentó una hemorragia subaracnoidea, un hematoma intraparenquimatoso y un hematoma subdural tras una intervención de estenosis de canal lumbar. No hemos encontrado en la literatura revisada sobre el tema ningún caso que presente tal asociación hemorrágica tras una cirugía de este tipo.

Palabras clave:
Lesión dural
Cirugía raquis lumbar
Complicación posquirúrgica
Hemorragia intracraneal

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