Postoperative remote cerebellar hemorrhage following lumbar laminectomy without cerebrospinal fluid leak: A rare presentation and review of the literature
Here we present a case report detailing an unusual occurrence of Remote Cerebellar Hemorrhage (RCH) post-lumbar laminectomy without the conventional cerebrospinal fluid (CSF) leak. Our patient, a 66-year-old male with neuropathic pain and numbness, underwent a lumbar two to five- laminectomy. Two we...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751923001913 |
| _version_ | 1797259913072738304 |
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| author | Malek Bashti Chase DeLong Sumedh Shah Long Di Emade Jaman Gregory W. Basil |
| author_facet | Malek Bashti Chase DeLong Sumedh Shah Long Di Emade Jaman Gregory W. Basil |
| author_sort | Malek Bashti |
| collection | DOAJ |
| description | Here we present a case report detailing an unusual occurrence of Remote Cerebellar Hemorrhage (RCH) post-lumbar laminectomy without the conventional cerebrospinal fluid (CSF) leak. Our patient, a 66-year-old male with neuropathic pain and numbness, underwent a lumbar two to five- laminectomy. Two weeks after the surgery, he developed an intense headache and paresthesia, with neuroimaging revealing superior right cerebellar lesions. Despite comprehensive diagnostic investigations, we found no evidence of typical RCH etiologies such as hypertension, trauma, vascular malformations, or venous sinus thrombosis. This intriguing case not only underscores the need for a multifaceted approach to understanding RCH etiology but also highlights the gaps in our current understanding. Additionally, it contributes to the sparse literature on instances of RCH following lumbar laminectomy in the absence of a CSF leak, thereby emphasizing the importance of continued research into such uncommon occurrences. |
| first_indexed | 2024-03-09T15:38:43Z |
| format | Article |
| id | doaj.art-1ec29d1e33974761ab8ecf3d974d5eb1 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-04-24T23:16:58Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-1ec29d1e33974761ab8ecf3d974d5eb12024-03-17T07:54:10ZengElsevierInterdisciplinary Neurosurgery2214-75192024-06-0136101908Postoperative remote cerebellar hemorrhage following lumbar laminectomy without cerebrospinal fluid leak: A rare presentation and review of the literatureMalek Bashti0Chase DeLong1Sumedh Shah2Long Di3Emade Jaman4Gregory W. Basil5Corresponding author at: Department of Neurological Surgery, University of Miami Miller School of Medicine, Lois Pope Life Center, 1095 NW 14th Terrace, Miami, FL 33136, United States.; Department of Neurosurgery, Miller School of Medicine, University of Miami, Miami, FL, United StatesDepartment of Neurosurgery, Miller School of Medicine, University of Miami, Miami, FL, United StatesDepartment of Neurosurgery, Miller School of Medicine, University of Miami, Miami, FL, United StatesDepartment of Neurosurgery, Miller School of Medicine, University of Miami, Miami, FL, United StatesDepartment of Neurosurgery, Miller School of Medicine, University of Miami, Miami, FL, United StatesDepartment of Neurosurgery, Miller School of Medicine, University of Miami, Miami, FL, United StatesHere we present a case report detailing an unusual occurrence of Remote Cerebellar Hemorrhage (RCH) post-lumbar laminectomy without the conventional cerebrospinal fluid (CSF) leak. Our patient, a 66-year-old male with neuropathic pain and numbness, underwent a lumbar two to five- laminectomy. Two weeks after the surgery, he developed an intense headache and paresthesia, with neuroimaging revealing superior right cerebellar lesions. Despite comprehensive diagnostic investigations, we found no evidence of typical RCH etiologies such as hypertension, trauma, vascular malformations, or venous sinus thrombosis. This intriguing case not only underscores the need for a multifaceted approach to understanding RCH etiology but also highlights the gaps in our current understanding. Additionally, it contributes to the sparse literature on instances of RCH following lumbar laminectomy in the absence of a CSF leak, thereby emphasizing the importance of continued research into such uncommon occurrences.http://www.sciencedirect.com/science/article/pii/S2214751923001913Remote cerebellar hemorrhageLumbar laminectomyCerebrospinal fluid leakUncommon presentationEtiology review |
| spellingShingle | Malek Bashti Chase DeLong Sumedh Shah Long Di Emade Jaman Gregory W. Basil Postoperative remote cerebellar hemorrhage following lumbar laminectomy without cerebrospinal fluid leak: A rare presentation and review of the literature Interdisciplinary Neurosurgery Remote cerebellar hemorrhage Lumbar laminectomy Cerebrospinal fluid leak Uncommon presentation Etiology review |
| title | Postoperative remote cerebellar hemorrhage following lumbar laminectomy without cerebrospinal fluid leak: A rare presentation and review of the literature |
| title_full | Postoperative remote cerebellar hemorrhage following lumbar laminectomy without cerebrospinal fluid leak: A rare presentation and review of the literature |
| title_fullStr | Postoperative remote cerebellar hemorrhage following lumbar laminectomy without cerebrospinal fluid leak: A rare presentation and review of the literature |
| title_full_unstemmed | Postoperative remote cerebellar hemorrhage following lumbar laminectomy without cerebrospinal fluid leak: A rare presentation and review of the literature |
| title_short | Postoperative remote cerebellar hemorrhage following lumbar laminectomy without cerebrospinal fluid leak: A rare presentation and review of the literature |
| title_sort | postoperative remote cerebellar hemorrhage following lumbar laminectomy without cerebrospinal fluid leak a rare presentation and review of the literature |
| topic | Remote cerebellar hemorrhage Lumbar laminectomy Cerebrospinal fluid leak Uncommon presentation Etiology review |
| url | http://www.sciencedirect.com/science/article/pii/S2214751923001913 |
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