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Vol. 22. Issue 6.
Pages 574-578 (January 2011)
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Vol. 22. Issue 6.
Pages 574-578 (January 2011)
Hematoma cerebeloso como complicación de artrodesis lumbar. A propósito de un caso y revisión de la literatura
Remote cerebellar haemorrhage after lumbar arthrodesis: Case report and literature review
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M. Castle
Corresponding author
lumacara@yahoo.com

Correspondencia: Servicio de Neurocirugía. Hospital Donostia. Paseo Dr. Beguiristain 109. 20014 San Sebastian. Guipuzcoa. España.
, C. Barrena, N. Samprón, I. Arrese
Servicio de Neurocirugía. Hospital Universitario Donostia. San Sebastián. España
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Resumen

El hematoma cerebeloso (HCD) como complicación en cirugía de raquis, es menos frecuente que el hematoma a distancia secundario a la cirugía intracraneal. Se manifiesta principalmente con cefalea o deterioro del nivel de consciencia y se ha asociado a la pérdida de LCR intra o postoperatoria.

Presentamos un caso de HCD en una paciente de 55 años tras cirugía instrumentada de columna lumbar con fístula de LCR oculta, además de una revisión de la literatura con análisis de sus posibles causas, así como las implicaciones terapéuticas.

Palabras clave:
Hematoma cerebeloso a distancia
Cirugía de raquis
Fístula de LCR
Summary

Remote cerebellar haemorrhage (RCH) is a rare complication of spinal surgery, less frequent than the RCH observed after an intracranial surgery. The patients principally complained of headache or were presented with deterioration in mental status.

We report a case of RCH in a 55 years old woman that underwent lumbar arthrodesis with occult dural defect. We review the literature, analysing its causes and therapeutic implications.

Key words:
Remote cerebellar haemorrhage
Spinal surgery
Cerebrospinal fluid leakage

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