RESUMO
El hematoma cerebeloso (HCD) como complicación en cirugía de raquis, es menos frecuente que el hematoma a distancia secundario a la cirugía intracraneal. Se manifiesta principalmente con cefalea o deterioro del nivel de consciencia y se ha asociado a la pérdida de LCR intra o postoperatoria. Presentamos un caso de HCD en una paciente de 55 años tras cirugía instrumentada de columna lumbar con fístula de LCR oculta, además de una revisión de la literatura con análisis de sus posibles causas, así como las implicaciones terapéuticas (AU)
Remote cerebellar haemorrhage (RCH) is a rare complication of spinal surgery, less frequent than the RCH observed after an intracranial surgery. The patients principally complained of headache or were presented with deterioration in mental status. We report a case of RCH in a 55 years old woman that underwent lumbar arthrodesis with occult dural defect. We review the literature, analysing its causes and therapeutic implications (AU)
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Artrodese/efeitos adversos , Hemorragia Cerebral Traumática/etiologia , Derrame Subdural/complicações , Doenças da Coluna Vertebral/cirurgia , Instabilidade Articular/cirurgiaRESUMO
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Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Hemorragia Cerebral Traumática/etiologia , Diálise Renal/efeitos adversos , Insuficiência Renal Crônica/complicações , Hepatite C Crônica/complicaçõesRESUMO
After the spontaneous relief of initial symptoms by traumatic carotid-cavernous fistula (CCF), paradoxical worsening of patient's condition can be followed. We present a case of a 60-yr-old man whose audible bruit from a traumatic CCF had completely disappeared. A few days later, however, the patient had spontaneous intracerebral hematoma with cortical venous drainage. Complete obliteration of the fistula was achieved after embolization. When initial audible bruit in traumatic CCF disappears suddenly, cerebral angiography should be performed to differentiate venous hypertension by the hemodynamic changes of the cavernous sinus channels from spontaneous resolution of CCF.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Encéfalo/patologia , Artérias Carótidas/patologia , Fístula Carótido-Cavernosa/complicações , Angiografia Cerebral/métodos , Hemorragia Cerebral Traumática/etiologia , Tomografia Computadorizada por Raios X/métodosRESUMO
Post-Traumatic Intraventricular Haemorrhage (IVH) occurs after a traumatic head injury and is usually associated with an adjacent intracerebral hemorrhage or brain contusion. Post-traumatic IVH was associated with other brain lesion in most cases. In fact, thepethogenetic mechanism that governs the formation of a post-traumatic IVH is not clear. Computed tomography represents the first reliable and nonsurgical tool for identifying IVH, where the sites of ventricular haemorrhage have been analysed. Ventricular drainage is used to made a good recovery in pacients with IVH. Prognostic in traumatic IVH, in general, is poor. In our study, we had 19 pacients with IVH, with 76 per cent male and 24 per cent female. Age average's were 30,3. As for the causes we had hit by a car, car collision, gunshot accident, fall and fight. CT was very important to detect IVH in our cases. The surgery was more frequent in our study when additional intracranial lesions were present. There were 8 death and 11 pacients had good recovery