Basal ganglia hemorrhage in a case report following spinal surgery

• Main Authors: Brent Berry, Malik Ghannam, Caitlin Bell, Sami Ghazaleh, Sherief Boss, Christopher Streib, Mustapha Ezzeddine
• Format: Article
• Language: English
• Published: BMC 2018-12-01
• Series: BMC Neurology
• Subjects: Spinal surgery; Hemorrhage complications; Supratentorial intraparenchymal hemorrhage; Basal ganglia hemorrhage
• Online Access: http://link.springer.com/article/10.1186/s12883-018-1218-x

Abstract Background Intracranial hemorrhage is a rare but potentially severe complication of spinal surgery. Most reported post-operative ICH cases consist of cerebellar hemorrhage. There are fewer reported cases of supratentorial ICH following spinal surgery. Case presentation A 56-year-old woman underwent spinal surgery complicated by bilateral supratentorial intraparenchymal basal ganglia hemorrhage with both intraventricular extension and subarachnoid hemorrhage in both cerebral hemispheres. Conclusion The occurrence of neurological deterioration post-operatively following spinal surgery should alert physicians to the possibility of intracranial hemorrhage in order to facilitate rapid and optimal management. To our knowledge, this is the first case reporting basal ganglia hemorrhage following spinal surgery. Moreover, consideration should be given to the possibility of this complication prior to recommendation of elective spinal surgery.