Remote Cerebellar Hemorrhage Presenting with Cerebellar Mutism after Spinal Surgery : An Unusual Case Report


Sen H. M. , Guven M. , ARAS A. B. , Cosar M.

JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, cilt.60, ss.367-370, 2017 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 60 Konu: 3
  • Basım Tarihi: 2017
  • Doi Numarası: 10.3340/jkns.2014.0709.001
  • Dergi Adı: JOURNAL OF KOREAN NEUROSURGICAL SOCIETY
  • Sayfa Sayıları: ss.367-370

Özet

Dural injury during spinal surgery can subsequently give rise to a remote cerebellar hemorrhage (RCH). Although the incidence of such injury is low, the resulting hemorrhage can be life threatening. The mechanism underlying the formation of the hemorrhage is not known, but it is mostly thought to develop after venous infarction. Cerebellar mutism (CM) is a frequent complication of posterior fossa operations in children, but it is rarely seen in adults. The development of CM after an RCH has not been described. We describe the case of a 65-year old female who lost cerebrospinal fluid after inadvertent opening of the dura during surgery. Computerized tomography performed when the patient became unable to speak revealed a bilateral cerebellar hemorrhage.