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Nonaneurysmal Subarachnoid Hemorrhage : Rare Complication of Vertebroplasty

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Author(s)
Jae Bum LimJoung Soo ParkEalmaan Kim
Keimyung Author(s)
Kim, El
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
Journal of Korean Neurosurgical Society
Issued Date
2009
Volume
45
Issue
6
Keyword
VertebroplastyComplicationNonaneurysmal subarachnoid hemorrhageValsalva maneuver
Abstract
On rare occasions, percutaneous vertebroplasty (PV) may be associated with adverse spinal and extraspinal events. Subarachnoid hemorrhage
(SAH) has not been reported complication following a PV. This is a report of two elderly women with spine compressions who developed
idiopathic SAH after injecting polymethylmethacrylate into the thoracolumbar region transcutaneously. PV was performed as an usual manner on
prone position under local anesthesia for these patients. During the interventions, two patients complained of a bursting nature of headache and
their arterial blood pressure was jumped up. Computed tomography scans revealed symmetric SAH on the both hemispheres and moderate
degree of hydrocephalus. Any intracranial vascular abnormalities for their SAH were not evident on modern neuroangiography modalities. One
patient received a ventricular shunt surgery, but both fully recovered from the procedure-related SAH. The pathophysiologic mechanism that
induce SAH will be discussed, with suggesting the manner that prevent and minimize this rare intracranial complication after PV.
Keimyung Author(s)(Kor)
김엘
Publisher
School of Medicine
Citation
Jae Bum Lim et al. (2009). Nonaneurysmal Subarachnoid Hemorrhage : Rare Complication of Vertebroplasty. Journal of Korean Neurosurgical Society, 45(6), 386–389. doi: 10.3340/jkns.2009.45.6.386
Type
Article
ISSN
2005-3711
DOI
10.3340/jkns.2009.45.6.386
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34143
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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