Perioperative intracranial hemorrhage in achondroplasia: A case report

Ilhan Elmaci, Michael C. Ain, Michael J. Wright, Roland R. Lee, Jeannie Marie E. Sheppard, Daniele Rigamonti, Orest Hurko

Research output: Contribution to journalArticle

Abstract

We report a case of a 35-year-old man with achondroplasia who previously had thoracolumbar decompressive laminectomies, who developed recurrence of spinal stenosis at the thoracolumbar junction. The patient underwent standard repeat thoraco-lumbar decompression, removal of a disc, and spinal fusion with instrumentation in the prone position. Postoperatively the patient was confused. Computed tomography (CT) revealed hemorrhages in both cerebellar hemispheres with surrounding edema and mild mass effect. These were interpreted as venous hemorrhages. Conservative therapy was successful. This is the first case report of perioperative venous intracranial hemorrhage in the context of spinal surgery for achondroplasia. Distinctive anatomic characteristics of achondroplasia, combined with several potentially modifiable aspects of his management, may have predisposed the patient to this complication.

Original languageEnglish (US)
Pages (from-to)217-220
Number of pages4
JournalJournal of Neurosurgical Anesthesiology
Volume12
Issue number3
DOIs
StatePublished - Jul 1 2000

Keywords

  • Achondroplasia
  • Intracranial hemorrhage
  • Spinal stenosis

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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