REMOTE CEREBELLAR HEMORRHAGE. A CASE REPORT AND REVIEW OF LITERATURE

Dr. Richa, Dr. Vaishali Patel, Dr. Tejdeep Singh Dhanoa, Dr Subhash Kumar

Abstract


Remote cerebellar hemorrhage (RCH) is an extremely rare complication of supratentorial surgeries. There are numerous theories explaining the patho-physiology behind this phenomenon, including the CSF over drainage theory, but the exact cause is still unknown. In this report, we present a case of remote cerebellar hemorrhage, encountered following removal of supratentorial craniopharyngioma without loss of large CSF volume. RCH can be an unusual finding on routine postoperative imaging studies and should not be mistaken for more common causes of bleeding such as hemorrhagic infarction, coagulopathy or cortical vein occlusion. Cerebellar hemorrhage in the typical setting can be identified as RCH and it does not require more extensive or invasive evaluation.


Keywords


Remote cerebellar hemorrhage, supratentorial craniotomy, craniopharyngioma

Full Text:

PDF

References


Yasargil MG, Yonekawa Y. Results of microsurgical extra-intracranial arterial bypass in the treatment of cerebral ischemia. Neurosurgery. 1977; 1:22–4

Jonathan A. Friedman, David G. Piepgras, Derek A. Duke, Robyn L. McClelland, Perry S. Bechtle, et al. Remote Cerebellar Hemorrhage after Supratentorial Surgery. Neurosurgery.2001; 49:1327–1340

Bernal-García LM, Cabezudo-Artero JM, Ortega-Martínez M, Fernández-Portales I, Ugarriza-Echebarrieta LF, et al. Remote cerebellar hemorrhage after lumbar spinal fluid drainage. Report of two cases and literature review. Neurocirugia (Astur) 2008; 19:440–5

Friedman JA, Piepgras DG, Duke DA, McClelland RL, Bechtle PS, Maher CO, et al. Remote cerebellar hemorrhage after supratentorial surgery. Neurosurgery. 2001; 49:1327–40

A. Amini, A.G. Osborn, T.D. McCall, W.T. Couldwell. Remote Cerebellar Hemorrhage. American Journal of Neuroradiology February 2006, 27 (2) 387-390

Brockmann MA, Nowak G, Reusche E, Russlies M, Petersen D. Zebra sign: Cerebellar bleeding pattern characteristic of cerebrospinal fluid loss. Case report. J Neurosurg. 2005; 102:1159–62

Chadduck WM. Cerebellar hemorrhage complicating cervical laminectomy. Neurosurgery. 1981; 9:185–9

Andrews RT, Koci TM. Cerebellar herniation and infarction as a complication of an occult postoperative lumbar dural defect. AJNR Am J Neuroradiol. 1995; 16:1312–5.

Brockmann MA, Groden C. Remote cerebellar hemorrhage: A review. Cerebellum. 2006; 5:64–8

Kuntal Kanti Das, Prakash Nair, Anant Mehrotra, Jayesh Sardhara, R. N. Sahu et al. Remote cerebellar hemorrhage: Report of 2 cases and review of literature. Asian J Neurosurg. 2014 Jul-Sep; 9(3): 161–164


Refbacks

  • There are currently no refbacks.