Contralateral Cerebellar Hemorrhagic Infarction after Pterional Craniotomy: Report of Five Cases and Review of the Literature

Papanastassiou, V.; Adams, C. B. T.

doi:10.1097/00006123-199610000-00040

Cited by 71 publications

(62 citation statements)

References 22 publications

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“…Several other factors, including arterial hypertension, anticoagulation therapy, coagulopathy, aneurysm, and arteriovenous malformations, have also been identified as possible predisposing factors for RCH [10,13,14]. Our patient had no history of hypertension and did not develop this problem peroperatively or postoperatively, and no arteriovenous malformation was apparent on CT angiography.…”

Section: Discussionmentioning

confidence: 59%

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Cerebellar hemorrhage after spinal surgery: case report and review of the literature

2005

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Section: Discussionmentioning

confidence: 59%

“…Intracerebral hematoma after craniotomy is one of the most common and important complications in neurosurgery practice [2,6,10,14]. Some of these hematomas occur at the surgical site, whereas others develop at remote locations.…”

Section: Discussionmentioning

confidence: 99%

Cerebellar hemorrhage after spinal surgery: case report and review of the literature

2005

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“…Intracerebral hematoma after craniotomy is a common complication in neurosurgical practice 3,4,8,9) . Some of these hematomas occur at the surgical site, whereas others develop at remote locations.…”

Section: Discussion Discussion Discussionmentioning

confidence: 99%

Incidence of Remote Cerebellar Hemorrhage in Patients with a Dural Tear during Spinal Surgery: A Retrospective Observational Analysis

Wada

Yui

Tamaki

et al. 2019

Spine Surg Relat Res

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Introduction: The incidence of remote cerebellar hemorrhage (RCH) in patients with a dural tear during spinal surgery is unclear. The purpose of this study was to determine the incidence of RCH and the causative factors in these patients.Methods: Two hundred and thirty-nine patients underwent spinal surgery at our institution between March 2015 and September 2016. Eleven of these patients needed dural suturing intraoperatively. All patients underwent CT of the head on the first postoperative day and were categorized according to whether they had RCH or not. The mean values for the amount of intraoperative bleeding, maximum perioperative blood pressure, postoperative drainage volume, and complaints of headache during the first 24 h postoperatively were compared between the two groups using the Welch's two-sample t-test and Fisher's exact test. The follow-up duration was 12 months.Results: There were four patients in the RCH group and seven in the non-RCH group. The incidence of RCH was 36.4%. There were three cerebellar hemorrhages and one interhemispheric fissure hemorrhage in the RCH group. The mean intraoperative bleeding volume was 284 mL in the RCH group and 569 mL in the non-RCH group. The mean respective values for maximum perioperative blood pressure and postoperative drainage volume were 132 mmHg and 547 mL in the RCH group and 144 mmHg and 567 mL in the non-RCH group; none of the differences was statistically significant. However, complaints of headache in the first 24 h postoperatively were significantly more common in the RCH group than in the non-RCH group (100% vs. 14.3%; p = 0.01). All patients with intracranial bleeding had recovered 3 months after surgery.Conclusions: The incidence of RCH following a dural tear during spinal surgery was 36.4%. There was a significant association between RCH and increased reporting of headache during the first 24 h postoperatively.

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“…Los HCD han sido descritos como complicación de cirugía intracraneal 4,6,8,10,12,[16][17][18]22,23,27,31,[34][35][36][37][38] . Las intervenciones donde se describe con más frecuencia este tipo de complicación son la lobectomía temporal o frontal para el tratamiento de la epilepsia o la cirugía de aneurismas 10, 16,31,34 .…”

Section: Discussionunclassified

“…Sin embargo se han descrito otras más graves, como infecciones 1,20,28 , neumoencéfalo 1,14 , parálisis de cuerda vocal 28 , infarto cerebral 28 , hemorragias cerebrales múltiples 29 o herniación transtentorial 3,32 . A su vez los HCD han sido descritos como una complicación rara tras cirugía supratentorial 4,6,8,10,12,[16][17][18]22,23,27,31,34,35,[36][37][38] y, menos frecuentemente tras cirugía raquídea con apertura dural 2,7,9,11,13,19,21,25,26,30,33 , aparentemente en relación con la pérdida de LCR.…”

Section: Introductionunclassified

Hematomas de cerebelo como complicación de drenaje lumbar: Presentación de dos casos y revisión de la literatura

et al. 2008

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ResumenLos hematomas de cerebelo a distancia (HCD) son una complicación rara, consistente en la aparición de un hematoma en el cerebelo tras intervenciones quirúrgicas en áreas que no guardan relación anatómica con él. Esta complicación ha sido descrita tras cirugía supratentorial y, menos frecuentemente, tras cirugía raquídea con apertura dural con importante pérdida de líquido cefalorraquídeo (LCR).Presentamos dos pacientes con un hematoma de cerebelo tras la colocación de un drenaje lumbar externo (DLE) por sospecha diagnóstica de hidrocefalia crónica del adulto (HCA). Ambos evolucionaron favorablemente tras la retirada de los DLE. Así mismo, realizamos una revisión de la literatura sobre los mecanismos etiopatogénicos, diagnóstico, tratamiento y pronóstico de los HCD.PALABRAS CLAVE: Drenaje lumbar. Hematoma de cerebelo. Hematomas a distancia. Hidrocefalia crónica del adulto. Hidrocefalia normotensiva. Remote cerebellar hemorrhage after lumbar spinal fluid drainage. Report of two cases and literature review SummaryRemote cerebellar hematoma, a cerebellar hematoma occurring after performing a surgical procedure in an anatomical distant area from the cerebellum, is a rare complication. It has been reported after supratentorial surgery and, less often, after spinal surgery with dural opening with important loss of cerebrospinal fluid. We report the occurrence of remote cerebellar hemorrhage after lumbar spinal fluid drainage in two patients with suspected normal pressure hydrocephalus. They were managed conservatively with good outcome. We review the pathologic mechanism, diagnostic procedures, management and prognosis of remote cerebellar hemorrhage.

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Contralateral Cerebellar Hemorrhagic Infarction after Pterional Craniotomy: Report of Five Cases and Review of the Literature

Cited by 71 publications

References 22 publications

Cerebellar hemorrhage after spinal surgery: case report and review of the literature

Cerebellar hemorrhage after spinal surgery: case report and review of the literature

Incidence of Remote Cerebellar Hemorrhage in Patients with a Dural Tear during Spinal Surgery: A Retrospective Observational Analysis

Hematomas de cerebelo como complicación de drenaje lumbar: Presentación de dos casos y revisión de la literatura

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