Korean J Anesthesiol.
2012 Sep;63(3):270-273. 10.4097/kjae.2012.63.3.270.
Seizure and delayed emergence from anesthesia resulting from remote cerebellar hemorrhage after lumbar spine surgery: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Chosun University Medical School, Gwangju, Korea. drshkim4187@yahoo.co.kr
- KMID: 2236280
- DOI: http://doi.org/10.4097/kjae.2012.63.3.270
Abstract
- A patient with remote cerebellar hemorrhage (RCH) who was presented at the authors' hospital with seizure and delayed emergence from anesthesia after loss of cerebrospinal fluid (CSF) through a dural tear during lumbar spine surgery is described. RCH is a rare and unpredictable complication after spinal surgery. Its most common clinical features are diminished consciousness, headache, and seizure. Its mechanism is still disputed, but is probably venous bleeding secondary to significant intra- or post-operative loss of CSF. Therefore, RCH must be considered in patients with unexplained mental deterioration or disturbance upon emergence and seizure from general anesthesia after spine surgery.
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Cited by 2 articles
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Remote Cerebellar Hemorrhage due to Cerebrospinal Fluid Leakage or Meningitis after Spinal Surgery - Case Report -
Sang Hun Ko, Jae-Ryong Cha, Hang Ki Kang, Sung Do Cho, Kwang Hwan Jung, Chae Chil Lee, Yun Suck Yeom, Sang Woo Kim
J Korean Soc Spine Surg. 2016;23(1):31-35. doi: 10.4184/jkss.2016.23.1.31.Remote Cerebellar Hemorrhage Presenting with Cerebellar Mutism after Spinal Surgery: An Unusual Case Report
Halil Murat Sen, Mustafa Guven, Adem Bozkurt Aras, Murat Cosar
J Korean Neurosurg Soc. 2017;60(3):367-370. doi: 10.3340/jkns.2014.0709.001.
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