J Korean Neurosurg Soc.  2013 Feb;53(2):118-120. 10.3340/jkns.2013.53.2.118.

Remote Cerebellar Hemorrhage after Intradural Disc Surgery

• Yoo JC
• Choi JJ
• Lee DW
• Lee S

• KMID: 2190690
• DOI: http://doi.org/10.3340/jkns.2013.53.2.118

Abstract

We report a rare case of remote cerebellar hemorrhage after intradural disc surgery at the L1-2 level. Two days after the spine surgery, patient complained unexpected headache, dizziness, nausea and vomiting. From the urgently conducted brain CT, it was reported that the patient had cerebellar hemorrhage. Occipital craniotomy and hematoma evacuation was performed, and hemorrhagic lesion on the right cerebellum was effectively removed. After occipital craniotomy, the patient showed signs of improvement on headache, dizziness, nausea and vomiting. He was able to leave the hospital after two weeks of initial operation without any neurological deficit. Remote cerebellar hemorrhage following spinal surgery is extremely rare, but may occur from dural damage of spinal surgery, accompanied with cerebrospinal fluid leakage. Early diagnosis is particularly important for the optimal treatment of remote cerebellar hemorrhage.

Keyword

Remote cerebellar hemorrhage; Dural injury; Intradural disc herniation

MeSH Terms

Brain
Cerebellum
Craniotomy
Dizziness
Early Diagnosis
Headache
Hematoma
Hemorrhage
Humans
Nausea
Spine
Vomiting

Figure

• 

  Fig. 1 Spinal MRI demonstrated a huge intra-dural mass compressing conus medullaris and cauda equina at the L1-L2 level, with slight ring enhancement on the surroundings (A and C). It was removed successfully with microsurgical operation (B and D).

• 

  Fig. 2 Preoperative brain CT scan demonstrates the cerebellar hemorrhage compressing the fourth ventricle and postoperatively, hematoma was removed completely.

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