Ulivieri Simone, Neri Laura, Oliveri Giuseppe
Departement of Neurosurgery, Santa Maria alle Scotte Hospital, Viale Bracci, Siena, Italy.
Ann Ital Chir. 2009 May-Jun;80(3):219-20.
Remote cerebellar haematoma (RCH) from the operative site is one of the most serious, although extremely rare, complications of spinal surgery. Dural opening is common to every reported case of a spinal procedure complicated by cerebellar hemorrhage, supporting the hypothesis that CSF loss is central to the pathogenesis of this condition. We report our experience with the case of cerebellar haematoma after lumbar disc surgery and the literature is reviewed.
手术部位远处的小脑血肿(RCH)是脊柱手术最严重的并发症之一,尽管极为罕见。硬膜开放见于每例报道的因小脑出血而并发的脊柱手术病例,这支持了脑脊液丢失是该病症发病机制核心的假说。我们报告了腰椎间盘手术后小脑血肿病例的经验并对文献进行了综述。