ヤマウチ　カヅヨ   YAMAUCHI Kadzuyo   山内　かづ代    所属   医学部 医学科    職種   評議員
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Remote Hemorrhage in the Cerebellum and Temporal Lobe after Lumbar Spine Surgery.
掲載誌名	正式名：Case reports in orthopedics 略　 称：Case Rep Orthop ISSNコード：(2090-6749)2090-6757(Linking)
掲載区分	国外
巻・号・頁	2015,pp.972798
著者・共著者	Watanabe Shotaro, Ohtori Seiji, Orita Sumihisa, Yamauchi Kazuyo, Eguchi Yawara, Aoki Yasuchika, Nakamura Junichi, Miyagi Masayuki, Suzuki Miyako, Kubota Gou, Inage Kazuhide, Sainoh Takeshi, Sato Jun, Shiga Yasuhiro, Abe Koki, Fujimoto Kazuki, Kanamoto Hiroto, Inoue Gen, Furuya Takeo, Koda Masao, Okawa Akihiko, Takahashi Kazuhisa, Yamazaki Masashi
発行年月	2015
概要	Cerebellar hemorrhage remote from the site of surgery can complicate neurosurgical procedures. However, this complication after lumbar surgery is rare. Furthermore, hemorrhage in both the cerebellum and the temporal lobe after spine surgery is rarer still. Herein we present a case of remote hemorrhage in both the cerebellum and the temporal lobe after lumbar spine surgery. A 79-year-old woman with a Schwannoma at the L4 level presented with low back and bilateral leg pain refractory to conservative management. Surgery was undertaken to remove the Schwannoma and to perform posterior fusion. During the surgery, the dura mater was removed in order to excise the Schwannoma. Reconstruction of the dura mater was performed; postoperatively the patient had a cerebrospinal fluid leak. Five days after surgery, clouding of consciousness started gradually, and hemorrhage in the cerebellum and the temporal lobe was revealed by computed tomography. Emergent evacuation of the hemorrhage was performed and the patient recovered consciousness after the surgery. Leakage of cerebrospinal fluid may have induced this hemorrhage. While rare, intracranial hemorrhage after spine surgery can occur, sometimes requiring emergent intervention.
DOI	10.1155/2015/972798
PMID	26339517