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Vol. 19. Issue 5.
Pages 440-445 (January 2008)
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Vol. 19. Issue 5.
Pages 440-445 (January 2008)
Hematomas de cerebelo como complicación de drenaje lumbar. Presentación de dos casos y revisión de la literatura
Remote cerebellar hemorrhage after lumbar spinal fluid drainage. Report of two cases and literature review
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L.M. Bernal-García
, J.M. Cabezudo-Artero, M. Ortega-Martínez, I. Fernández-Portales, L.F. Ugarriza-Echebarrieta, M. Pineda-Palomo, L.F. Porras-Estrada, L.F. Gómez-Perals
Servicio de Neurocirugía. Hospital Universitario Infanta Cristina. Badajoz
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Resumen

Los hematomas de cerebelo a distancia (HCD) son una complicación rara, consistente en la aparición de un hematoma en el cerebelo tras intervenciones quirúrgicas en áreas que no guardan relación anatómica con él. Esta complicación ha sido descrita tras cirugía supratentorial y, menos frecuentemente, tras cirugía raquídea con apertura dural con importante pérdida de líquido cefalorraquídeo (LCR).

Presentamos dos pacientes con un hematoma de cerebelo tras la colocación de un drenaje lumbar externo (DLE) por sospecha diagnóstica de hidrocefalia crónica del adulto (HCA). Ambos evolucionaron favorablemente tras la retirada de los DLE. Así mismo, realizamos una revisión de la literatura sobre los mecanismos etiopatogénicos, diagnóstico, tratamiento y pronóstico de los HCD.

Palabras clave:
Drenaje lumbar
Hematoma de cerebelo
Hematomas a distancia
Hidrocefalia crónica del adulto
Hidrocefalia normotensiva
Abreviaturas:
DLE
DVE
HCA
HCD
HDL
HTA
LCR
RM
TC
Summary

Remote cerebellar hematoma, a cerebellar hematoma occurring after performing a surgical procedure in an anatomical distant area from the cerebellum, is a rare complication. It has been reported after supratentorial surgery and, less often, after spinal surgery with dural opening with important loss of cerebrospinal fluid. We report the occurrence of remote cerebellar hemorrhage after lumbar spinal fluid drainage in two patients with suspected normal pressure hydrocephalus. They were managed conservatively with good outcome. We review the pathologic mechanism, diagnostic procedures, management and prognosis of remote cerebellar hemorrhage.

Key words:
Lumbar spinal fluid drainage
Cerebellar hemorrhage
Remote hemorrhage
Chronic hydrocephalus
Normal pressure hydrocephalus

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