Supratentorial and infratentorial intraparenchymal hemorrhage secondary to intracranial CSF hypotension following spinal surgery

Spine (Phila Pa 1976). 2002 Sep 15;27(18):E410-2. doi: 10.1097/00007632-200209150-00023.


Study design: A single case study was conducted.

Objectives: To detail the occurrence of multiple intracranial, intraparenchymal hemorrhages following an iatrogenic acute reduction in cerebral spinal fluid pressure following excision of an intradural extramedullary spinal tumor.

Summary of background data: Multiple supratentorial, intraparenchymal, intracranial hemorrhages following an acute reduction in cerebral spinal fluid pressure have not been previously reported in the literature.

Methods: A case report and literature review are presented.

Results: The patient made an uneventful full recovery.

Conclusion: Intracranial hemorrhage must be considered in the differential diagnosis of patients presenting with persistent headache following spinal surgery when the dura has been breached and is associated with significant cerebrospinal fluid loss.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Back Pain / etiology
  • Cerebellum / blood supply
  • Cerebellum / diagnostic imaging
  • Cerebrospinal Fluid Pressure*
  • Female
  • Headache / etiology
  • Humans
  • Intracranial Hemorrhages / diagnosis*
  • Intracranial Hemorrhages / etiology*
  • Magnetic Resonance Imaging
  • Muscle Weakness / etiology
  • Neurilemmoma / complications
  • Neurilemmoma / diagnosis
  • Neurilemmoma / surgery*
  • Neurosurgical Procedures / adverse effects*
  • Recovery of Function
  • Spinal Neoplasms / complications
  • Spinal Neoplasms / diagnosis
  • Spinal Neoplasms / surgery*
  • Temporal Lobe / blood supply
  • Temporal Lobe / diagnostic imaging
  • Tomography, X-Ray Computed