J Korean Neurosurg Soc.  2016 Jan;59(1):62-64. 10.3340/jkns.2016.59.1.62.

Subarachnoid Hemorrhage Presenting with Seizure due to Cerebrospinal Fluid Leakage after Spinal Surgery

• Bozkurt G
• Yaman ME

• KMID: 2152920
• DOI: http://doi.org/10.3340/jkns.2016.59.1.62

Abstract

Cerebrospinal fluid leakage may commonly occur during spinal surgeries and it may cause dural tears. These tears may result in hemorrhage in the entire compartments of the brain. Most common site of such hemorrhages are the veins in the cerebellar region. We report a case of hemorrhage, mimicking aneurysmal subarachnoid hemorrhage due to a cerebrospinal fluid leakage following lumbar spinal surgery and discuss the possible mechanisms of action.

Keyword

Cerebrospinal fluid leakage; Intracranial hemorrhage; Spinal surgery; Subarachnoid hemorrhage

MeSH Terms

Brain
Cerebrospinal Fluid*
Hemorrhage
Intracranial Hemorrhages
Seizures*
Subarachnoid Hemorrhage*
Tears
Veins

Figure

• 

  Fig. 1 A : Preoperative T2-weighted magnetic resonance imaging revealed Wiltze type 3 spondylolisthesis and spinal stenosis at L3–4. B and C : Lomber CT after surgery shows posterior enstrumantation at L3–4 with pedicle screws (B) and pneumorrhachis due to dural tear (C).

• 

  Fig. 2 Right sided sylvian-periinsular subarachnoid hemorrhage (A and B) and pneumocephalus (B) in postoperative computed tomography of the brain. Right Carotid angiography demonstrates no vascular abnormality (C).

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