Basal ganglia hemorrhage in a case report following spinal surgery

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

doi:10.1186/s12883-018-1218-x

Cited by 5 publications

(2 citation statements)

References 16 publications

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“…Among the five patients with hemorrhage in our study, two had definite dura mater tearing and one had possible dura mater tearing. Intracranial hemorrhage after spinal surgery has been reported following the loss of cerebrospinal fluid due to dural tear [19][20][21]. Instrumented fusion and pedicle screwing could increase the risk of intraoperative dural lesions, leading to postoperative CSF leakage and intracranial hypotension, which could induce a downward sag of the cerebellum and result in rupture of blood vessels [22,23].…”

Section: Discussionmentioning

confidence: 99%

Perioperative stroke in patients undergoing spinal surgery: a retrospective cohort study

Yan

Pang

Yan

et al. 2022

BMC Musculoskelet Disord

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Background The incidence of perioperative stroke following spinal surgery, including ischemic and hemorrhagic stroke, has not been fully investigated in the Chinese population. Whether specific spinal or emergency/elective procedures are associated with perioperative stroke remains controversial. This study aimed to investigate the incidence of perioperative stroke, health economic burden, clinical outcomes, and associated risk factors. Method A retrospective cohort study using an electronic hospital information system database was conducted from Jan 1, 2015, to Jan 1, 2021, in a tertiary hospital in China. Patients aged ≥18 years who had undergone spinal surgery were included in the study. We recorded patient demographics, comorbidities, and health economics data. Clinical outcomes included perioperative stroke during hospitalization and associated risk factors. The patients’ operative data, anesthetic data, and clinical manifestations were recorded. Result A total of 17,408 patients who had undergone spinal surgery were included in this study. Twelve patients had perioperative stroke, including seven ischemic stroke (58.3%) and five hemorrhagic stroke (41.7%). The incidence of perioperative stroke was 0.07% (12/17,408). In total, 12 stroke patients underwent spinal fusion. Patients with perioperative stroke were associated with longer hospital stay (38.33 days vs. 9.78 days, p < 0.001) and higher hospital expenses (RMB 175,642 vs. RMB 81,114, p < 0.001). On discharge, 50% of perioperative patients had severe outcomes. The average onset time of perioperative stroke was 1.3 days after surgery. Stroke history (OR 146.046, 95% CI: 28.102–759.006, p < 0.001) and hyperlipidemia (OR 4.490, 95% CI: 1.182–17.060, p = 0.027) were associated with perioperative stroke. Conclusion The incidence of perioperative stroke of spinal surgery in a tertiary hospital in China was 0.07%, with a high proportion of hemorrhagic stroke. Perioperative stroke patients experienced a heavy financial burden and severe outcomes. A previous stroke history and hyperlipidemia were associated with perioperative stroke.

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Section: Discussionmentioning

confidence: 99%

Perioperative stroke in patients undergoing spinal surgery: a retrospective cohort study

Yan

Pang

Yan

et al. 2022

BMC Musculoskelet Disord

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“…Emergent neuroimaging should be performed to exclude the diagnosis and facilitate rapid intervention. 3 …”

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confidence: 99%

Intracranial Hemorrhage following Spinal Surgery: A Systematic Review of a Rare Complication

et al. 2022

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Introduction Intracranial hemorrhage (ICH) is a potentially severe complication of spinal surgeries. The occurrence of such complications causes deterioration of the patient's clinical status and delayed discharge from the hospital. Although no specific etiological factors were identified for this complication, but multiple risk factors might play role in its development, they include the use of anticoagulants, presence of uncontrolled hypertension, and perioperative patient positioning. Aim A systematic review of the literature to investigate the prevalence of different types of intracranial hemorrhages in patients who underwent spinal surgeries. Methods A literature review was conducted using multiple research databases. Data were extracted using multiple variables that were formulated incongruent with the study aim and then further analyzed. Results A total of 79 studies were included in our analysis after applying the exclusion criteria and removing of repeated studies, 109 patients were identified where they were diagnosed with intracranial hemorrhage after spine surgery with a mean age of 54 years. The most common type of hemorrhage was cerebellar hemorrhage (56.0%) followed by SDH and intraparenchymal hemorrhage; 23.9 and 17.4%, respectively. The most common spine surgery was laminectomy (70.6%), followed by fixation and fusion (50.5%), excision of spinal lesions was done in 20.2% of the patient, and discectomy (14.7%). Conclusion The data in this study showed that out of 112 patients with ICH, cerebellar hemorrhage was the most common type. ICH post–spine surgery is a rare complication and the real etiologies behind this complication are still unknown, cerebrospinal fluid drain and durotomy were suggested.

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Basal ganglia hemorrhage in a case report following spinal surgery

Cited by 5 publications

References 16 publications

Perioperative stroke in patients undergoing spinal surgery: a retrospective cohort study

Perioperative stroke in patients undergoing spinal surgery: a retrospective cohort study

Intracranial Hemorrhage following Spinal Surgery: A Systematic Review of a Rare Complication

Remote medulla ablongata ventral acute subarachnoid hemorrhage following cervical spinal surgery: A case report

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