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 |