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KMID : 1001920170600030367
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Journal of Korean Neurosurgical Society
2017 Volume.60 No. 3 p.367 ~ p.370
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Remote Cerebellar Hemorrhage Presenting with Cerebellar Mutism after Spinal Surgery: An Unusual Case Report
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Sen Halil Murat
Guven Mustafa
Aras Adem Bozkurt
Cosar Murat
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Abstract
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Dural injury during spinal surgery can subsequently give rise to a remote cerebellar hemorrhage (RCH). Although the incidence of such injury is low, the resulting hemorrhage can be life threatening. The mechanism underlying the formation of the hemorrhage is not known, but it is mostly thought to develop after venous infarction. Cerebellar mutism (CM) is a frequent complication of posterior fossa operations in children, but it is rarely seen in adults. The development of CM after an RCH has not been described. We describe the case of a 65-year old female who lost cerebrospinal fluid after inadvertent opening of the dura during surgery. Computerized tomography performed when the patient became unable to speak revealed a bilateral cerebellar hemorrhage.
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KEYWORD
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Cerebellum , Hemorrhage , Mutism , Spine
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