Chan Alvin Y, Mullin Jeffrey P, Benzel Edward, Bingaman William
Medical College of Wisconsin.
Neurosurgery, Cleveland Clinic.
Cureus. 2017 May 30;9(5):e1292. doi: 10.7759/cureus.1292.
Cerebellar hemorrhage (CH) is a rare but devastating complication following spine surgery. It is associated with a compromise to dura integrity and typically has a delayed post-operative onset. Here, we describe a patient who suffered a CH that presented with a generalized tonic-clonic (GTC) seizure immediately after a revision lumbar fusion. The patient did not regain consciousness from anesthesia prior to the hemorrhage. There are no reports indicating that CHs can occur abruptly following a spine surgery. This case outlines the importance of remaining vigilant for signs of CH immediately after surgery.
小脑出血（CH）是脊柱手术后一种罕见但极具破坏性的并发症。它与硬脑膜完整性受损有关，通常在术后延迟发作。在此，我们描述了一名患者，该患者在腰椎翻修融合术后立即出现小脑出血，并伴有全身强直阵挛性（GTC）癫痫发作。出血前患者未从麻醉中苏醒。尚无报告表明脊柱手术后小脑出血会突然发生。本病例强调了术后立即警惕小脑出血迹象的重要性。
