PMID: 12763353May 24, 2003Paper

Cerebellar haemorrhage following supratentorial craniotomy

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
T L T SiuTimothy Siu

Abstract

Distant cerebellar haemorrhage is a rare complication occurring in approximately 0.3-0.6% of all supratentorial craniotomy. A Medline and Pubmed search revealed only 98 cases in the English literature. We report three cases from our institution. An overall review of these 101 cases demonstrated that this complication commonly presented early in the postoperative course as decreased level of consciousness following aneurysm repair surgery or lobectomy for epilepsy. Asymptomatic presentation due to small haemorrhage was not uncommon. A transtentorial pressure gradient set up by excessive CSF loss is generally held responsible for disrupting the cerebellar venous blood flow and consequently leading to venous haemorrhage. Perioperative hypertension may also play a role. The outcome of patients who survived the complications was generally good, though not infrequently fatality resulted from the mass effect of extensive cerebellar haemorrhage demanded vigilance in its management.

Citations

Apr 9, 2008·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hiroyuki HashidateHiroyuki Kato
Nov 19, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Ross SmithDaniel Surdell
Feb 6, 2016·Neurosurgical Review·Carmelo Lucio SturialeDomenico d'Avella
Mar 18, 2009·The Kaohsiung Journal of Medical Sciences·Chih-Yuan HuangE-Jian Lee
Jun 6, 2012·Neurological Research·Chih-Yuan HuangE-Jian Lee
Apr 30, 2007·The Neuroradiology Journal·Cheng-Ta HsiehYih-Huei Su
Sep 19, 2009·Journal of Korean Neurosurgical Society·Jae-Suk ParkYeun-Mook Park

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