Intraventricular hemorrhage as complication after spinal surgery. Case report.

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  • Additional Information
    • Source:
      Publisher: Elsevier España Country of Publication: Spain NLM ID: 101778594 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2341-1929 (Electronic) Linking ISSN: 23411929 NLM ISO Abbreviation: Rev Esp Anestesiol Reanim (Engl Ed) Subsets: MEDLINE
    • Publication Information:
      Original Publication: Barcelona : Elsevier España, 2015-
    • Subject Terms:
      Cerebral Hemorrhage*/diagnostic imaging ; Cerebral Hemorrhage*/etiology ; Neurosurgical Procedures*/adverse effects; Humans ; Intracranial Hemorrhages/complications ; Intracranial Hemorrhages/etiology ; Seizures/complications
    • Abstract:
      Remote intracranial hemorrhage (ICH) is a rare but dreaded complication after spinal surgery. The physiopathology of this phenomenon is closely related to a loss of cerebrospinal fluid (CSF) after an incidental durotomy during spine surgery. The most common remote ICH location is cerebellar, but few articles report intraventricular hemorrhage. Its clinic is associated with cerebral hypotension due to decreased CSF, mainly headache, dysarthria, hemiparesis, an impaired level of awareness and seizures. The diagnosis of remote ICH after a non-cranial surgery can be a challenge to anesthesiologists, this pathology should be suspected face an immediate neurological deterioration after anesthetic awakening. Non-specific symptoms make it difficult to identify the origin of intracranial hemorrhagic from other differential diagnoses. We present a patient with an impaired level of awareness and seizures who suffered a hemorrhage in the right ventricle with cerebral and cerebellar edema in the immediate postoperative period after spinal surgery.
      (Copyright © 2021 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.)
    • Contributed Indexing:
      Keywords: Cirugía espinal; Convulsión; Disminución nivel conciencia; Hemorragia intracraneal a distancia; Hemorragia intraventricular; Incidental durotomy; Intraventricular hemorrhage; Lesión dural incidental; Loss of consciousness; Remote intracranial hemorrhage; Seizure; Spinal surgery
    • Publication Date:
      Date Created: 20220311 Date Completed: 20220503 Latest Revision: 20220521
    • Publication Date:
      20231215
    • Accession Number:
      10.1016/j.redare.2022.02.003
    • Accession Number:
      35272951