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Cerebellar hemorrhage complicating cervical durotomy and revision C1-C2 fusion
1Department of Orthopedic Surgery, Kawasaki Medical School, Okayama, Japan.
Study Design:
A case of cerebellar hemorrhage complicating cervical durotomy and revision C1-C2 fusion is reported. There has been only one report on cerebellar hemorrhage after cervical durotomy.
Summary Of Background Data:
The patient became comatose approximately 16 hours after surgery. According to a review of the recovery room records, the patient's cerebellar hemorrhage probably occurred some time within the first 10 hours after the procedure and not during the operation.
Methods:
The authors reviewed reports on complicated cerebellar hemorrhage, and the causative factors were studied.
Conclusion:
Postoperative drainage of cerebrospinal fluid, especially when negative pressure is applied, may play a role in the occurrence of cerebellar hemorrhage.