Immediate Remote Cerebellar Hemorrhage and Seizure Following Revision Lumbosacral Fusion

: Cerebellar hemorrhage (CH) is a rare but devastating complication following spine surgery. It is associated with a compromise to dura integrity and typically has a delayed post-operative onset. Here, we describe a patient who suffered a CH that presented with a generalized tonic-clonic (GTC) seizure immediately after a revision lumbar fusion. The patient did not regain consciousness from anesthesia prior to the hemorrhage. There are no reports indicating that CHs can occur abruptly following a spine surgery. This case outlines the importance of remaining vigilant for signs of CH immediately after surgery.