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

Bozkurt, Gökhan; Yaman, Mesut Emre

doi:10.3340/jkns.2016.59.1.62

Cited by 8 publications

(3 citation statements)

References 19 publications

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“…Bozkurt suggested that elderly patients with hypertension and brain atrophy were more prone to SAH 4 . Canao believed that the risk of non-aneurysmal SAH in hypertensive patients was 2.6 times higher than that in control group 5 . Their report was also con rmed in our study, 73.9% of patients in the SAH group suffered from hypertension before surgery.…”

Section: Resultsmentioning

confidence: 94%

Analysis of Risk Factors Related to Acute Subarachnoid Hemorrhage After Spinal Surgery

et al. 2022

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Study Design: A retrospective single-center study.Background: Subarachnoid hemorrhage (SAH) is a rare complication secondary to cerebrospinal uid (CSF) leakage during spinal surgery, but the speci c cause of the bleeding is still unclear.Objective In this study, we studied cases of acute SAH after spinal surgery to nd the related risk factors for bleeding.Methods: A total of 441 patients with CSF leakage who underwent spinal surgery in [BLINDED FOR REVIEW] from 2011 to 2020 were retrospectively analyzed. According to whether postoperative SAH occurred, they were divided into SAH group and Control group. By comparing the two groups of demographic data, past history, imaging data, intraoperative ndings, perioperative complications, treatment conditions to nd the risk factors of SAH, to provide guidance for the prevention of SAH after spinal surgery.Results: In SAH group, 17 cases (73.9%) had preoperative hypertension and 3 cases (13.0%) had diabetes. The intraoperative CSF leakage was about 118.4±56.9 ml. The mean postoperative drainage was 15.4±5.8 ml/h; Compared with SAH group, Control group had 123 cases (29.4%) with hypertension before operation, 40 cases (9.6%) with diabetes, intraoperative CSF leakage was about 76.3±23.0ml, and the mean postoperative continuous drainage 9.7±2.1ml/h. Binary logistic regression analysis showed that hypertension, intraoperative CSF leakage, and postoperative CSF continuous drainage speed are related to SAH. Conclusion:The rapid leakage of CSF caused by the rupture of the dural sac during operation and the rapid drainage of CSF after surgery are closely related to the occurrence of such complications. In addition, hypertension is a related factor of SAH during spinal surgery.

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Section: Resultsmentioning

confidence: 94%

Analysis of Risk Factors Related to Acute Subarachnoid Hemorrhage After Spinal Surgery

et al. 2022

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“… 11 Regarding the CSF leak after spinal surgeries, a study published in 2019 concluded that the overall incidence of CSF leak after spinal surgeries involving resection of both intradural and extradural pathologies is relatively low (6.6%). 17 According to this review, we found that the volume ranged from 100 18 19 to 1,300 mL 20 with a mean volume of 521 mL. Another review showed that the mean volume of CSF drained, prior to the appearance of the symptoms of ICH, among 8 patients was 225 mL.…”

Section: Discussionmentioning

confidence: 89%

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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“…According to previous reports, intracranial hemorrhage secondary to spinal surgery is less infrequent than that secondary to craniotomy; the incidence of remote intracranial hemorrhage after craniotomy is approximately 0.08–0.6% ( 6 ) among included cases. Cevik et al and Bozkurt et al investigated 2,444 patients who underwent spinal surgery and found that only 0.08% of them developed intracranial hemorrhage postoperatively ( 7 , 8 ). Khalatbari et al determined that only four patients (0.37%) suffered this complication in a cohort of 1,077 cases ( 9 ), Pham et al found two patients (0.14%) in a cohort of 1,396 cases ( 10 ), and Floman et al reported three patients in a cohort of 1,196 cases ( 11 ).…”

Section: Discussionmentioning

confidence: 99%

Intracranial hemorrhage after spinal surgery: a literature review

Huang¹,

Zhu²,

Qin³

et al. 2022

Ann Transl Med

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Background and Objective: Intracranial hemorrhage following spinal surgery is an infrequent but severe complication. Due to its rarity, the etiology, clinical characteristics, and treatment have not yet been fully elucidated. This literature review analyzed the incidence, clinical manifestations, hemorrhage location, current therapeutic strategies, location of operation, and interval time between surgery and bleeding. The objectives of the article were to provide insights for clinicians to promptly identify and prevent potential cases of intracranial hemorrhage. Methods:The authors queried PubMed and Web of Science databases using predefined keywords and included published literature reporting on intracranial hemorrhage after spinal surgery. Relevant case reports, case series, and reviews describing the mechanism of intracranial hemorrhage after spinal surgery and meeting diagnostic criteria for intracranial hemorrhage related to spinal surgery were included. Clinicodemographc data, presentations symptoms, location, index surgery type, and neurological outcomes after brain hemorrhage. Oxford Centre Level of Evidence guidelines was used to evaluate the quality of included studies. Descriptive statistics were used to synthesize the results.

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

Cited by 8 publications

References 19 publications

Analysis of Risk Factors Related to Acute Subarachnoid Hemorrhage After Spinal Surgery

Analysis of Risk Factors Related to Acute Subarachnoid Hemorrhage After Spinal Surgery

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

Intracranial hemorrhage after spinal surgery: a literature review

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