脊柱手术后基底节区出血的病例报告
Basal ganglia hemorrhage in a case report following spinal surgery.
作者信息
Berry Brent, Ghannam Malik, Bell Caitlin, Ghazaleh Sami, Boss Sherief, Streib Christopher, Ezzeddine Mustapha
机构信息
Neurology Department, University of Minnesota, Minneapolis, MN, USA.
University of Minnesota, Minneapolis, MN, USA.
出版信息
BMC Neurol. 2018 Dec 14;18(1):204. doi: 10.1186/s12883-018-1218-x.
BACKGROUND
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.
CASE PRESENTATION
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.
CONCLUSION
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.
背景
颅内出血是脊柱手术罕见但可能严重的并发症。大多数报道的术后颅内出血病例为小脑出血。脊柱手术后幕上颅内出血的报道病例较少。
病例介绍
一名56岁女性接受脊柱手术，术后并发双侧幕上脑实质内基底节出血，血液流入双侧脑室及蛛网膜下腔。
结论
脊柱手术后出现神经功能恶化应提醒医生警惕颅内出血的可能性，以便进行快速和最佳处理。据我们所知，这是首例报道脊柱手术后发生基底节出血的病例。此外，在推荐择期脊柱手术前应考虑到这种并发症的可能性。
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