Cerebellar herniation and infarction as a complication of an occult postoperative lumbar dural defect.

@article{Andrews1995CerebellarHA,
  title={Cerebellar herniation and infarction as a complication of an occult postoperative lumbar dural defect.},
  author={Robert Torrance Andrews and T M Koci},
  journal={AJNR. American journal of neuroradiology},
  year={1995},
  volume={16 6},
  pages={
          1312-5
        }
}
A patient who underwent lumbar spine surgery sustained an occult dural injury. After unrecognized suction drainage of cerebrospinal fluid through a surgical drain, caudal herniation of the cerebellum with superior cerebellar infarction developed. This mechanism should be considered in patients in whom acute mental status changes develop after spinal surgery. 

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