Basal ganglia hemorrhage in a case report following spinal surgery

Intracranial hemorrhage is a rare but potentially severe complication of spinal surgery. Most reported post-operative ICH cases consist of cerebellar hemorrhage. There are fewer reported cases of supratentorial ICH following spinal surgery. A 56-year-old woman underwent spinal surgery complicated by...

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Bibliographic Details
Published in:BMC neurology 2018-12, Vol.18 (1), p.204-204, Article 204
Main Authors: Berry, Brent, Ghannam, Malik, Bell, Caitlin, Ghazaleh, Sami, Boss, Sherief, Streib, Christopher, Ezzeddine, Mustapha
Format: Article
Language:English
Subjects:
Back surgery
Basal ganglia
Basal ganglia hemorrhage
Brain hemorrhage
Case Report
Case reports
Cerebellum
Cerebral hemispheres
Extrapyramidal disorders
Hemorrhage
Hemorrhage complications
Medical imaging
Neurosurgery
Spinal surgery
Subarachnoid hemorrhage
Supratentorial intraparenchymal hemorrhage
Surgery
Tomography
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Summary:Intracranial hemorrhage is a rare but potentially severe complication of spinal surgery. Most reported post-operative ICH cases consist of cerebellar hemorrhage. There are fewer reported cases of supratentorial ICH following spinal surgery. A 56-year-old woman underwent spinal surgery complicated by bilateral supratentorial intraparenchymal basal ganglia hemorrhage with both intraventricular extension and subarachnoid hemorrhage in both cerebral hemispheres. The occurrence of neurological deterioration post-operatively following spinal surgery should alert physicians to the possibility of intracranial hemorrhage in order to facilitate rapid and optimal management. To our knowledge, this is the first case reporting basal ganglia hemorrhage following spinal surgery. Moreover, consideration should be given to the possibility of this complication prior to recommendation of elective spinal surgery.
ISSN:1471-2377
1471-2377
DOI:10.1186/s12883-018-1218-x