Cerebellopontine angle empyema after lumbar disc herniation surgery

International Journal of Clinical and Experimental Medicine

Manoel Jacobsen Teixeira¹  Barbara Albuquerque Morais¹  Roger Schmidt Brock¹  Wagner Malagó Tavares¹  Clarissa Gambara Nascimento¹  Wellingson Silva Paiva¹ 

关键词: Herniated disc;    postoperative complications;    cerebrospinal fluid leak;    brain empyema;   

DOI  :  

学科分类：医学（综合）

来源: e-Century Publishing Corporation

【 摘 要 】

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.

【 授权许可】

Unknown