Two cases of supratentorial lobar intracranial hemorrhage following lumbar decompression and stabilization

xlomafota13 shared this article with you from Inoreader Two cases of supratentorial lobar intracranial hemorrhage following lumbar decompression and stabilization Via leak of cerebrospinal fluid Surg Neurol Int. 2021 May 10;12:221. doi: 10.25259/SNI_271_2021. eCollection 2021. ABSTRACT BACKGROUND: Lumbar spine surgery with or without intraoperative dural tear (DT) may contribute to postoperative subdural hematomas and/or cerebellar intracranial hemorrhages (ICHs). Here, we present two patients, one with and one without an intraoperative DT occurring during lumbar surgery, both of whom developed acute postoperative supratentorial ICHs. CASE DESCRIPTION: Two patients developed supratentorial lobar ICH following lumbar decompressions and fusion. The first patient, without an intraoperative DT, developed multiple ICHs involving the left cerebellum and left temporal lobe. The second patient, following an L4-5 decompression/instrumented fusion involving a DT, postoperatively developed a large right frontal ICH. CONCLUSION: Here, two patients undergoing lumbar spine surgery with/without DT subsequently developed significant ICH. PMID:34084648 | PMC:PMC8168694 | DOI:10.25259/SNI_271_2021 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.