Intracranial hemorrhage and pneumozephalus after spinal cord tumor resection a case report

Keisuke Goda, Daniel Obata, Tomoyuki Kanazawa, Akiko Miyoshi, Toshihiro Sasaki, Tomohiko Suemori, Kazuyoshi Shimizu, Hiroshi Morimatsu

Research output: Contribution to journalArticle

Abstract

A 75-year-old woman was scheduled for spinal cord tumor resection. General anesthesia was induced and maintained using propofol remifentanil and fentanyl. Aside from fluctuations in intraoperative blood pressure, the surgery was uneventful, but emergence from anesthesia was delayed and the patient showed partial paralysis. Emergent brain CT revealed multiple intracranial hemorrhages and pneumocephalus. Since a large amount of fluid was observed from the drainage tube at the surgical site, loss of cerebrospinal fluid and subsequent low intracranial pressure were considered to be the cause of the hemorrhage and pneumocepha-lus. Intracranial hemorrhage and Pneumozephalus are rare complications after spinal surgery, but they can lead to serious neurological dysfunction. Dural tear and/or excessive drainage are considered to be the causes of these complications, and careful observation of the property, amount and rate of drainage is therefore warranted.

Original languageEnglish
Pages (from-to)1271-1275
Number of pages5
JournalJapanese Journal of Anesthesiology
Volume65
Issue number12
Publication statusPublished - Dec 1 2016

Fingerprint

Spinal Cord Neoplasms
Intracranial Hemorrhages
Drainage
Delayed Emergence from Anesthesia
Pneumocephalus
Intracranial Pressure
Fentanyl
Propofol
Tears
Paralysis
General Anesthesia
Cerebrospinal Fluid
Observation
Hemorrhage
Blood Pressure
Brain

Keywords

  • Cerebrospinal fluid leak
  • Intracranial hemorrhage
  • Spine surgery

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Intracranial hemorrhage and pneumozephalus after spinal cord tumor resection a case report. / Goda, Keisuke; Obata, Daniel; Kanazawa, Tomoyuki; Miyoshi, Akiko; Sasaki, Toshihiro; Suemori, Tomohiko; Shimizu, Kazuyoshi; Morimatsu, Hiroshi.

In: Japanese Journal of Anesthesiology, Vol. 65, No. 12, 01.12.2016, p. 1271-1275.

Research output: Contribution to journalArticle

Goda, Keisuke ; Obata, Daniel ; Kanazawa, Tomoyuki ; Miyoshi, Akiko ; Sasaki, Toshihiro ; Suemori, Tomohiko ; Shimizu, Kazuyoshi ; Morimatsu, Hiroshi. / Intracranial hemorrhage and pneumozephalus after spinal cord tumor resection a case report. In: Japanese Journal of Anesthesiology. 2016 ; Vol. 65, No. 12. pp. 1271-1275.
@article{d5acf895da4e4199b13f794011b58427,
title = "Intracranial hemorrhage and pneumozephalus after spinal cord tumor resection a case report",
abstract = "A 75-year-old woman was scheduled for spinal cord tumor resection. General anesthesia was induced and maintained using propofol remifentanil and fentanyl. Aside from fluctuations in intraoperative blood pressure, the surgery was uneventful, but emergence from anesthesia was delayed and the patient showed partial paralysis. Emergent brain CT revealed multiple intracranial hemorrhages and pneumocephalus. Since a large amount of fluid was observed from the drainage tube at the surgical site, loss of cerebrospinal fluid and subsequent low intracranial pressure were considered to be the cause of the hemorrhage and pneumocepha-lus. Intracranial hemorrhage and Pneumozephalus are rare complications after spinal surgery, but they can lead to serious neurological dysfunction. Dural tear and/or excessive drainage are considered to be the causes of these complications, and careful observation of the property, amount and rate of drainage is therefore warranted.",
keywords = "Cerebrospinal fluid leak, Intracranial hemorrhage, Spine surgery",
author = "Keisuke Goda and Daniel Obata and Tomoyuki Kanazawa and Akiko Miyoshi and Toshihiro Sasaki and Tomohiko Suemori and Kazuyoshi Shimizu and Hiroshi Morimatsu",
year = "2016",
month = "12",
day = "1",
language = "English",
volume = "65",
pages = "1271--1275",
journal = "Japanese Journal of Anesthesiology",
issn = "0021-4892",
publisher = "Kokuseido Publishing Co. Ltd",
number = "12",

}

TY - JOUR

T1 - Intracranial hemorrhage and pneumozephalus after spinal cord tumor resection a case report

AU - Goda, Keisuke

AU - Obata, Daniel

AU - Kanazawa, Tomoyuki

AU - Miyoshi, Akiko

AU - Sasaki, Toshihiro

AU - Suemori, Tomohiko

AU - Shimizu, Kazuyoshi

AU - Morimatsu, Hiroshi

PY - 2016/12/1

Y1 - 2016/12/1

N2 - A 75-year-old woman was scheduled for spinal cord tumor resection. General anesthesia was induced and maintained using propofol remifentanil and fentanyl. Aside from fluctuations in intraoperative blood pressure, the surgery was uneventful, but emergence from anesthesia was delayed and the patient showed partial paralysis. Emergent brain CT revealed multiple intracranial hemorrhages and pneumocephalus. Since a large amount of fluid was observed from the drainage tube at the surgical site, loss of cerebrospinal fluid and subsequent low intracranial pressure were considered to be the cause of the hemorrhage and pneumocepha-lus. Intracranial hemorrhage and Pneumozephalus are rare complications after spinal surgery, but they can lead to serious neurological dysfunction. Dural tear and/or excessive drainage are considered to be the causes of these complications, and careful observation of the property, amount and rate of drainage is therefore warranted.

AB - A 75-year-old woman was scheduled for spinal cord tumor resection. General anesthesia was induced and maintained using propofol remifentanil and fentanyl. Aside from fluctuations in intraoperative blood pressure, the surgery was uneventful, but emergence from anesthesia was delayed and the patient showed partial paralysis. Emergent brain CT revealed multiple intracranial hemorrhages and pneumocephalus. Since a large amount of fluid was observed from the drainage tube at the surgical site, loss of cerebrospinal fluid and subsequent low intracranial pressure were considered to be the cause of the hemorrhage and pneumocepha-lus. Intracranial hemorrhage and Pneumozephalus are rare complications after spinal surgery, but they can lead to serious neurological dysfunction. Dural tear and/or excessive drainage are considered to be the causes of these complications, and careful observation of the property, amount and rate of drainage is therefore warranted.

KW - Cerebrospinal fluid leak

KW - Intracranial hemorrhage

KW - Spine surgery

UR - http://www.scopus.com/inward/record.url?scp=85010189036&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85010189036&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:85010189036

VL - 65

SP - 1271

EP - 1275

JO - Japanese Journal of Anesthesiology

JF - Japanese Journal of Anesthesiology

SN - 0021-4892

IS - 12

ER -