Basal ganglia hemorrhage in a case report following spinal surgery

Brent Berry,Christopher Streib,Mustapha Ezzeddine,Sami Ghazaleh,Caitlin Bell,Sherief Boss,Malik Ghannam

doi:10.1186/s12883-018-1218-x

Brent Berry, Christopher Streib + Show 5 more

Open Access

https://doi.org/10.1186/s12883-018-1218-x

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Journal: BMC Neurology	Publication Date: Dec 1, 2018
Citations: 4	License type: open-access

Affiliation: University of Minnesota, University of Toledo

Abstract

BackgroundIntracranial 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 presentationA 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.ConclusionThe 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.

Highlights

ConclusionThe 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
Intracranial hemorrhage is a rare but potentially severe complication of spinal surgery
Consideration should be given to the possibility of this complication prior to recommendation of elective spinal surgery

Summary

Conclusion

Intracranial hemorrhage is a known complication following spinal surgery, especially if the operation is complicated by dural tear and CSF leak. The occurrence of neurological deterioration during the postoperative period should alert physicians to the possibility of intracranial hemorrhage. Emergent neuroimaging should be performed to exclude the diagnosis and facilitate rapid intervention. To our knowledge, this is the first case reporting basal ganglia hemorrhage after spinal surgery. Consideration should be given to the possibility of this complication prior to recommendation of elective spinal surgery

Background

Discussion