scholarly journals Remote Cerebellar Hemorrhage after Removal of Large Convexity Meningioma

2020 ◽  
Vol 17 (3) ◽  
pp. 63-67
Author(s):  
Dinuj Shrestha ◽  
Janam Shrestha ◽  
Pravesh Rajbhandari ◽  
Resha Shrestha ◽  
Basant Pant
Keyword(s):  
Cerebrospinal Fluid ◽  
Postoperative Complication ◽  
Benign Condition ◽  
Cerebellar Hemorrhage ◽  
Remote Cerebellar Hemorrhage ◽  
Supratentorial Craniotomy

Remote cerebellar hemorrhage is a rare postoperative complication. It can occur after infratentorial or supratentorial craniotomies, later being more common. Remote cerebellar hemorrhage is considered to be a self-limited and benign condition. The exact pathophysiology of remote cerebellar hemorrhage remains unclear, but reports have suggested an association with excessive loss of cerebrospinal fluid. We report a case of remote cerebellar hemorrhage after supratentorial craniotomy for large convexity meningioma without excessive loss of cerebrospinal fluid.

scholarly journals Remote Cerebellar Hemorrhage Following Supratentorial Craniotomy-Case Report-

2004 ◽  
Vol 44 (6) ◽  
pp. 294-297 ◽  
Author(s):  
Takashi MARUYAMA ◽  
Keisuke ISHII ◽  
Mitsuo ISONO ◽  
Tatsuya ABE ◽  
Minoru FUJIKI ◽  
...  
Keyword(s):  
Case Report ◽  
Cerebellar Hemorrhage ◽  
Remote Cerebellar Hemorrhage ◽  
Supratentorial Craniotomy

Remote cerebellar hemorrhage following supratentorial craniotomy

2012 ◽  
Vol 34 (5) ◽  
pp. 422-429 ◽  
Author(s):  
Chih-Yuan Huang ◽  
Po-Hsuan Lee ◽  
Sheng-Hsiang Lin ◽  
Ming-Tsung Chuang ◽  
Yuan-Ting Sun ◽  
...  
Keyword(s):  
Cerebellar Hemorrhage ◽  
Remote Cerebellar Hemorrhage ◽  
Supratentorial Craniotomy

Remote Cerebellar Hemorrhage and Iliofemoral Vein Thrombosis After Supratentorial Craniotomy

2007 ◽  
Vol 8 (2) ◽  
pp. 283-285 ◽  
Author(s):  
Burcak Bilginer ◽  
Kader K. Oguz ◽  
Nejat Akalan ◽  
Dennis D. Spencer
Keyword(s):  
Cerebellar Hemorrhage ◽  
Remote Cerebellar Hemorrhage ◽  
Vein Thrombosis ◽  
Supratentorial Craniotomy

Supratentorial craniotomy complicated by an homolateral remote cerebellar hemorrhage and a controlateral perisylvian infarction: case report

2009 ◽  
Vol 152 (1) ◽  
pp. 169-172 ◽  
Author(s):  
Emmanuel Mandonnet ◽  
Bruno Faivre ◽  
Damien Bresson ◽  
Jan Cornelius ◽  
Jean-Pierre Guichard ◽  
...  
Keyword(s):  
Case Report ◽  
Cerebellar Hemorrhage ◽  
Remote Cerebellar Hemorrhage ◽  
Supratentorial Craniotomy

Cerebellar Hemorrhage after Spinal Surgery: Report of Two Cases and Literature Review

Neurosurgery ◽  
2002 ◽  
Vol 50 (6) ◽  
pp. 1361-1364 ◽  
Author(s):  
Jonathan A. Friedman ◽  
Robert D. Ecker ◽  
David G. Piepgras ◽  
Derek A. Duke
Keyword(s):  
Cerebrospinal Fluid ◽  
Prone Position ◽  
Spinal Surgery ◽  
Right Hemisphere ◽  
Patient Positioning ◽  
Herniated Disc ◽  
Neurosurgical Procedures ◽  
Causative Role ◽  
Cerebellar Hemorrhage ◽  
Remote Cerebellar Hemorrhage

Abstract OBJECTIVE AND IMPORTANCE Cerebellar hemorrhage remote from the site of surgery may complicate neurosurgical procedures. We describe our experience with two cases of cerebellar hemorrhage after spinal surgery and review the three cases previously reported in the literature to determine whether these cases provide insight regarding the pathogenesis of remote cerebellar hemorrhage. CLINICAL PRESENTATION One of our patients developed cerebellar hemorrhage in the vermis and right hemisphere after transpedicular removal of a partially intradural T9–T10 herniated disc with the patient in the prone position. The other patient developed cerebellar hemorrhage in the vermis and bilateral hemispheres after L3–S1 decompression and instrumentation with the patient in the prone position, during which the dura was inadvertently opened. INTERVENTION The first patient was treated conservatively and had mild residual dysarthria and gait ataxia 2 months after surgery. The second patient underwent exploration and revision of the lumbar wound with primary dural repair. The cerebellar hemorrhage was treated conservatively, and the patient had mild dysarthria and ataxia 1 month after surgery. CONCLUSION Cerebellar hemorrhage must be considered in patients with unexplained neurological deterioration after spinal surgery. Dural opening with loss of cerebrospinal fluid has occurred in every reported case of cerebellar hemorrhage complicating a spinal procedure, supporting the hypothesis that loss of cerebrospinal fluid is central to the pathogenesis of this condition. Because remote cerebellar hemorrhage can occur after procedures with the patient in the supine, sitting, and prone positions, patient positioning seems unlikely to play a causative role in its occurrence.

Zebra sign: cerebellar bleeding pattern characteristic of cerebrospinal fluid loss

2005 ◽  
Vol 102 (6) ◽  
pp. 1159-1162 ◽  
Author(s):  
Marc A. Brockmann ◽  
Georg Nowak ◽  
Erich Reusche ◽  
Martin Russlies ◽  
Dirk Petersen
Keyword(s):  
Cerebrospinal Fluid ◽  
Fluid Loss ◽  
Bleeding Pattern ◽  
Cerebellar Hemorrhage ◽  
Content Type ◽  
Zebra Pattern ◽  
Remote Cerebellar Hemorrhage ◽  
Pattern Characteristic ◽  
Zebra Sign ◽  
Almost All

✓ Supratentorial subdural hematoma is a well-known complication following spinal interventions. Less often, spinal or supratentorial interventions cause remote cerebellar hemorrhage (RCH). The exact pathomechanism accounting for RCH remains unclear, but an interventional or postinterventional loss of cerebrospinal fluid (CSF) seems to be involved in almost all cases. Hemorrhage is often characterized by a typical, streaky bleeding pattern due to blood spreading in the cerebellar sulci. Three different cases featuring this bleeding pattern following spinal, supratentorial, and thoracic surgery are presented. Possible pathomechanisms leading to RCH are discussed. Based on data from the underlying cases and the reviewed literature, the authors concluded that this zebra-pattern hemorrhage seems to be typical in a postoperative loss of CSF, which should always be considered on presentation of this bleeding pattern.

scholarly journals Article Commentary: “Remote Cerebellar Hemorrhage after Revision Lumbar Spine Surgery”

2015 ◽  
Vol 5 (6) ◽  
pp. 538-538
Author(s):  
David Paulson ◽  
Jeni Page ◽  
Marc D. Moisi ◽  
Rod J. Oskouian
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Lumbar Spine Surgery ◽  
Cerebellar Hemorrhage ◽  
Remote Cerebellar Hemorrhage
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