Cerebellopontine angle empyema after lumbar disc herniation surgery

BACKGROUNDLumbar discectomy is still one of the most common spinal surgeries performed today. Nevertheless, there are few publications considering severe complications. CASE DESCRIPTIONWe report a case with severe complication, without any previous report, a brain empyema after cerebrospinal fluid l...

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Bibliographic Details
Published in:International journal of clinical and experimental medicine 2015, Vol.8 (4), p.6342-6345
Main Authors: Nascimento, Clarissa Gambara, Brock, Roger Schmidt, Morais, Barbara Albuquerque, Tavares, Wagner Malagó, Teixeira, Manoel Jacobsen, Paiva, Wellingson Silva
Format: Report
Language:English
Online Access:Get full text
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Summary:BACKGROUNDLumbar discectomy is still one of the most common spinal surgeries performed today. Nevertheless, there are few publications considering severe complications. CASE DESCRIPTIONWe report a case with severe complication, without any previous report, a brain empyema after cerebrospinal fluid leak with good outcome afterword. A 45 years old man, returned six days after surgery, presenting cerebrospinal fluid leak, which after clinical and laboratory deterioration was reoperated. In the 14th postoperative facing worsening level of consciousness was diagnosed empyema in cerebellopontine angle and hydrocephalus underwent emergency surgery. Evolved with hemiplegia in the first postoperative attributed to vasculitis, completely recovered after 5 days. CONCLUSIONSAlthough infrequent, lumbar discectomy is subject to severe complications, which as the case presented, can be dramatic. In surgeries must be careful to avoid cerebrospinal fluid leak e infectious complications.
ISSN:1940-5901
1940-5901