Kashkoush Ahmed, Chakravarthy Vikram, Bain Mark, Kalfas Iain, Steinmetz Michael
Department of Neurosurgery, Cleveland Clinic Foundation, Cleveland, Ohio, United States.
Surg Neurol Int. 2021 May 10;12:221. doi: 10.25259/SNI_271_2021. eCollection 2021.
Lumbar spine surgery with or without intraoperative dural tear (DT) may contribute to postoperative subdural hematomas and/or cerebellar intracranial hemorrhages (ICHs). Here, we present two patients, one with and one without an intraoperative DT occurring during lumbar surgery, both of whom developed acute postoperative supratentorial ICHs.
Two patients developed supratentorial lobar ICH following lumbar decompressions and fusion. The first patient, without an intraoperative DT, developed multiple ICHs involving the left cerebellum and left temporal lobe. The second patient, following an L4-5 decompression/instrumented fusion involving a DT, postoperatively developed a large right frontal ICH.
Here, two patients undergoing lumbar spine surgery with/without DT subsequently developed significant ICH.
腰椎手术无论术中是否发生硬脑膜撕裂（DT），都可能导致术后硬膜下血肿和/或小脑颅内出血（ICH）。在此，我们报告两名患者，一名在腰椎手术期间发生术中DT，另一名未发生，两人均出现急性术后幕上ICH。
两名患者在腰椎减压融合术后发生幕上叶ICH。第一名患者术中未发生DT，出现多处ICH，累及左小脑和左颞叶。第二名患者在L4-5减压/器械融合术中发生DT，术后出现大量右侧额叶ICH。
在此，两名接受腰椎手术且有/无DT的患者随后均发生了严重ICH。
