2022
DOI: 10.11604/pamj.2022.41.24.32799
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Remote cerebellar hemorrhage after the evacuation of a subdural hematoma: a case report

Abstract: Remote intracranial hemorrhage is postoperative bleeding that occurs away from the surgical site. Remote cerebellar hemorrhage (RCH) is a cerebellar hemorrhage that may occur in 0.04-0.8% of cases after supratentorial and spinal procedures. We report a case of a 73-year-old male who developed signs of increased intracranial pressure two days after the evacuation of a subdural hematoma. Brain computed tomography showed RCH with the “zebra sign” and triventricular hydrocephalus that indicated the placement of ex… Show more

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“…A case where large amounts of cerebrospinal fluid drainage and low intracranial pressure following subdural hematoma surgery caused cerebellar hematoma (the zebra sign) is present in the literature. The hydrocephalus that developed later was reported to cause serious prolongation of hospitalization and decrease the Glasgow outcome score of the patient (9). The point we want to emphasize by providing this example is that an epidural catheter can also increase morbidity due to excessive CSF drainage.…”
Section: Discussionmentioning
confidence: 98%
“…A case where large amounts of cerebrospinal fluid drainage and low intracranial pressure following subdural hematoma surgery caused cerebellar hematoma (the zebra sign) is present in the literature. The hydrocephalus that developed later was reported to cause serious prolongation of hospitalization and decrease the Glasgow outcome score of the patient (9). The point we want to emphasize by providing this example is that an epidural catheter can also increase morbidity due to excessive CSF drainage.…”
Section: Discussionmentioning
confidence: 98%