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Inicio Revista Española de Cirugía Ortopédica y Traumatología (English Edition) Remote cerebellar hemorrhage caused by undetected dural tear after lumbar spinal...
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Vol. 62. Issue 3.
Pages 228-230 (May - June 2018)
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Vol. 62. Issue 3.
Pages 228-230 (May - June 2018)
Case report
DOI: 10.1016/j.recote.2018.03.001
Remote cerebellar hemorrhage caused by undetected dural tear after lumbar spinal surgery
Hemorragia cerebelosa distal por fístula dural oculta tras cirugía espinal
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Estela Val-Jordána,
Corresponding author
evaljordan@me.com

Corresponding author.
, Pilar Seral-Moralb, Beatriz Novo-Gonzálezc
a Servicio de Medicina Intensiva, Hospital Universitario Miguel Servet, Zaragoza, Spain
b Servicio de Radiodiagnóstico, Hospital Universitario Miguel Servet, Zaragoza, Spain
c Servicio de Neurocirugía, Hospital Universitario Miguel Servet, Zaragoza, Spain
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Abstract

Remote cerebellar haemorrhage is a rare but serious complication after spinal surgery. Although the mechanism is not well known, it always occurs after loss of cerebrospinal fluid due to dural tear, not always identified, which produces remote venous bleeding. Prognosis depends largely on the severity of this bleeding.

We report a case of 67-year-old female who suffered a cerebellar and subarachnoid haemorrhage and subdural haematoma after elective lumbar fusion surgery and eventually required decompressive craniectomy.

Keywords:
Remote cerebellar haemorrhage
Spinal surgery
Dural tear
Cerebrospinal fluid leakage
Complication
Venous bleeding
Resumen

La hemorragia cerebelosa (HC) distal es una complicación infrecuente pero grave tras cirugía espinal. Aunque el mecanismo de aparición sigue siendo desconocido, sucede tras la pérdida de líquido cefalorraquídeo (LCR) por desgarro dural, no siempre objetivado, lo que produce un sangrado venoso a distancia. El pronóstico depende en gran medida de la gravedad de dicha hemorragia.

Se presenta el caso de una mujer de 67 años que sufrió, además de HC, hemorragia subaracnoidea (HSA) y hematoma subdural (HS) tras artrodesis lumbar programada que requirió craniectomía descompresiva.

Palabras clave:
Hematoma cerebeloso distal
Cirugía espinal
Fístula dural
Pérdida de líquido cefalorraquídeo
Complicación
Sangrado venoso

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