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

doi:10.1097/00008506-200007000-00003

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

School of Medicine

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

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 language	English (US)
Pages (from-to)	217-220
Number of pages	4
Journal	Journal of Neurosurgical Anesthesiology
Volume	12
Issue number	3
DOIs	https://doi.org/10.1097/00008506-200007000-00003
State	Published - Jul 2000

Keywords

Achondroplasia
Intracranial hemorrhage
Spinal stenosis

ASJC Scopus subject areas

Surgery
Clinical Neurology
Anesthesiology and Pain Medicine

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10.1097/00008506-200007000-00003

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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.",

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AU - Elmaci, Ilhan

AU - Ain, Michael C.

AU - Wright, Michael J.

AU - Lee, Roland R.

AU - Sheppard, Jeannie Marie E.

AU - Rigamonti, Daniele

AU - Hurko, Orest

PY - 2000/7

Y1 - 2000/7

N2 - 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.

AB - 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.

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KW - Intracranial hemorrhage

KW - Spinal stenosis

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Perioperative intracranial hemorrhage in achondroplasia: A case report

Abstract

Keywords

ASJC Scopus subject areas

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