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BioMed Research International
Volume 2017 (2017), Article ID 5390839, 5 pages
Review Article

Characteristics of Hemorrhagic Stroke following Spine and Joint Surgeries

Department of Orthopedics, School of Medicine, Jinling Hospital, Nanjing University, Nanjing, Jiangsu 210002, China

Correspondence should be addressed to Jianning Zhao; moc.361@7591gninnaijoahz and Haidong Xu; moc.361@0891gnodiahux

Received 18 October 2016; Revised 29 November 2016; Accepted 14 December 2016; Published 10 January 2017

Academic Editor: Sheng Chen

Copyright © 2017 Fei Yang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Hemorrhagic stroke can occur after spine and joint surgeries such as laminectomy, lumbar spinal fusion, tumor resection, and total joint arthroplasty. Although this kind of stroke rarely happens, it may cause severe consequences and high mortality rates. Typical clinical symptoms of hemorrhagic stroke after spine and joint surgeries include headache, vomiting, consciousness disturbance, and mental disorders. It can happen several hours after surgeries. Most bleeding sites are located in cerebellar hemisphere and temporal lobe. A cerebrospinal fluid (CSF) leakage caused by surgeries may be the key to intracranial hemorrhages happening. Early diagnosis and treatments are very important for patients to prevent the further progression of intracranial hemorrhages. Several patients need a hematoma evacuation and their prognosis is not optimistic.