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KMID : 0356920120630030270
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Korean Journal of Anesthesiology
2012 Volume.63 No. 3 p.270 ~ p.273
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Seizure and delayed emergence from anesthesia resulting from remote cerebellar hemorrhage after lumbar spine surgery -A case report-
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Lee Hyun-Young
Kim Sang-Hun
So Keum-Young
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Abstract
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A patient with remote cerebellar hemorrhage (RCH) who was presented at the authors’ hospital with seizure and delayed emergence from anesthesia after loss of cerebrospinal fluid (CSF) through a dural tear during lumbar spine surgery is described. RCH is a rare and unpredictable complication after spinal surgery. Its most common clinical features are diminished consciousness, headache, and seizure. Its mechanism is still disputed, but is probably venous bleeding secondary to significant intra- or post-operative loss of CSF. Therefore, RCH must be considered in patients with unexplained mental deterioration or disturbance upon emergence and seizure from general anesthesia after spine surgery.
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KEYWORD
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Brian hemorrhage, Delayed emergence, General anesthesia, Lumbosacral region, Seizure, Surgery
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