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Anesth Analg 2005;100:545-546
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000143340.51813.6A

NEUROSURGICAL ANESTHESIA

Cerebellar Hemorrhage Caused by Cerebrospinal Fluid Leak After Spine Surgery

Ehab Farag, MD, FRCA*, Amgad Abdou, MD{ddagger}, Ihab Riad, MD{ddagger}, Sam R. Borsellino, MD{dagger}, and Armin Schubert, MD, MBA*§

Departments of *General Anesthesiology and {dagger}Neurosurgery, and {ddagger}Division of Anesthesiology and Critical Care Medicine, Cleveland Clinic Foundation; and §Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio

Address correspondence and reprint requests to Armin Schubert, MD, MBA, Department of General Anesthesiology/E-31, The Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, OH 44195. Address e-mail to schubea{at}ccf.org.

Spine surgery is associated with a wide range of surgical and anesthetic complications. Excessive cerebrospinal fluid leak can be a cause of cerebellar hemorrhage postoperatively. We report a 43-yr-old patient who had lumbar spine reexploration surgery complicated by a cerebrospinal fluid leak which led to cerebellar hemorrhage manifested by postoperative mental status changes. Early detection and proper management resulted in full recovery.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.