Cerebellopontine angle empyema after lumbar disc herniation surgery

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0
Tipo de produção
article
Data de publicação
2015
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ISSN da Revista
Título do Volume
Editora
E-CENTURY PUBLISHING CORP
Citação
INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE, v.8, n.4, p.6342-6345, 2015
Projetos de Pesquisa
Unidades Organizacionais
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Resumo
Background: Lumbar discectomy is still one of the most common spinal surgeries performed today. Nevertheless, there are few publications considering severe complications. Case Description: We report a case with severe complication, without any previous report, a brain empyema after cerebrospinal fluid leak with good outcome afterword. A 45 years old man, returned six days after surgery, presenting cerebrospinal fluid leak, which after clinical and laboratory deterioration was reoperated. In the 14th postoperative facing worsening level of consciousness was diagnosed empyema in cerebellopontine angle and hydrocephalus underwent emergency surgery. Evolved with hemiplegia in the first postoperative attributed to vasculitis, completely recovered after 5 days. Conclusions: Although infrequent, lumbar discectomy is subject to severe complications, which as the case presented, can be dramatic. In surgeries must be careful to avoid cerebrospinal fluid leak e infectious complications.
Palavras-chave
Herniated disc, postoperative complications, cerebrospinal fluid leak, brain empyema
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