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. 2017 Jan 10;2017:5390839. doi: 10.1155/2017/5390839

Table 1.

Clinical status of hemorrhagic stroke after different types of spine surgeries.

Surgery types Clinical manifestations CT appearance Brain parenchyma hemorrhage location Treatments Results Total case
Cervical laminectomy 10 cases have a serious headache, 1 case has aphasia, and 2 cases have limb motor dysfunction 3 cases show subarachnoid hemorrhage, and 8 cases show brain parenchyma hemorrhage 4 cases locate unilateral cerebellar hemisphere, 3 cases locate unilateral temporal lobe, and 1 case locates bilateral cerebellar hemisphere 8 cases under conservative treatments, 2 cases under dural tear repairing, and 1 case under decompressive craniectomy 9 cases completely recover with no neurologic defect, 1 case recovers with lower limbs spasticity, and 1 case died 11
Lumbar laminectomy 17 cases have headache and nausea, 6 cases have consciousness disturbance, 3 cases have limb motor dysfunction, and 1 has gait ataxia 4 cases show subarachnoid hemorrhage, 12 cases show brain parenchyma hemorrhage, and 1 case shows both of them 8 cases locate unilateral cerebellar hemisphere, 2 cases locate cerebellar vermis, 1 case locates right temporal lobe, and 1 case locates parietooccipital lobes 11 cases under conservative treatments, 4 cases under dural tear repairing, 2 cases under hemorrhage evacuation, and 2 cases under decompressive craniectomy 15 cases completely recover with no neurologic defect, 2 cases died, 1 case has left foot drop and diplopia, and 1 case has cognitive deficit 19
Lumbar spinal fusion All cases have headache and nausea, 2 cases have dysarthria, 1 case has a speech deficit, and 1 case has consciousness disturbance 1 case shows subarachnoid hemorrhage, and 7 cases show brain parenchyma hemorrhage, and 2 cases show both of them 6 cases locate unilateral cerebellar hemisphere, 1 case locates bilateral cerebellar hemisphere, and 2 cases locate unilateral occipital lobe 7 cases under conservative treatments, 2 cases under dural tear repairing, and 1 case under hematoma evacuation 8 cases completely recover with no neurologic defect, 1 case has speech deficit, and 1 case died 10
Tumor resection All cases have headache, and 1 has dizziness and vomiting 2 cases show cerebellar hemorrhage, and 1 case shows cerebral hemisphere hemorrhage 2 cases locate unilateral cerebellar hemisphere, and 1 case locates left temporooccipital cortex All cases under conservative treatments 2 cases completely recover, and 1 case has a slight ataxia 3
Harington rod placement Headache and vomiting Subarachnoid hemorrhage and cerebellum hemorrhage Right cerebellar hemispheres, right ventricle, and subarachnoid spaces Suboccipital craniotomy Completely recovered 1