Cerebrospinal fluid leakage complicated by intracranial hematoma and cervical infection following resection of dumbbell schwannoma in the cervical canal: a case report and literature review.

Abstract

Background: Haemorrhagic cerebral infarction with cervical infection is a severe and complex complication in spinal surgery. This paper report a case of intracranial hematoma secondary to cerebrospinal fluid leakage after surgery for dumbbell tumor of cervical spine.

Case presentations: The patient suffered from postoperative cerebrospinal fluid leakage followed by hemorrhagic cerebral infarction, unilateral limb sensorimotor dysfunction and language dysfunction, and was treated conservatively. Combined with cervical infection, the treatment was anti-inflammatory and lumbar puncture drainage. The infection of the patient was cured, and the symptoms related to hemorrhagic cerebral infarction were better than before.

Results: The case showed cerebrospinal fluid leakage after the operation of dumbbell tumor of cervical spine, which caused hemorrhagic cerebral infarction with typical clinical symptoms.

Conclusions: The risk complications of intracranial hemorrhage and cervical infection should be paid attention to when cerebrospinal fluid loss occurs in patients with cervical dumbbell tumor after surgery.