Remote cerebellar hemorrhage: Report of 2 cases and review of literature

Das, Kuntal Kanti; Nair, Prakash; Mehrotra, Anant; Sardhara, Jayesh; Sahu, RN; Jaiswal, Akhilesh; Kumar, Raj

doi:10.4103/1793-5482.142737

Cited by 4 publications

(1 citation statement)

References 13 publications

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“…RCH is usually seen to occur between 30 to 60 years of age, however it has been detailed in patients as young as 10 years and as old as 83 years. 1 The intraoperative course was uneventful, there was no excessive loss of CSF, no opening of cisterns or ventricle and no brain swelling. Complete hemostasis was achieved before closure over an extradural free drain.…”

Section: Case Presentationmentioning

confidence: 85%

Remote Cerebellar Hemorrhage after Removal of Large Convexity Meningioma

Shrestha¹,

Shrestha²,

Rajbhandari³

et al. 2020

Nep J Neurosci

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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.

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Section: Case Presentationmentioning

confidence: 85%

Remote Cerebellar Hemorrhage after Removal of Large Convexity Meningioma

Shrestha¹,

Shrestha²,

Rajbhandari³

et al. 2020

Nep J Neurosci

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Major complications of dural venous sinus stenting for idiopathic intracranial hypertension: case series and management considerations

Townsend

Jost

Amans³

et al. 2021

J NeuroIntervent Surg

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BackgroundVenous sinus stenting (VSS) is a safe, effective, and increasingly popular treatment option for selected patients with idiopathic intracranial hypertension (IIH). Serious complications associated with VSS are rarely reported.MethodsSerious complications after VSS were identified retrospectively from multicenter databases. The cases are presented and management strategies are discussed.ResultsSix major acute and chronic complications after VSS were selected from a total of 811 VSS procedures and 1466 venograms for IIH. These included an acute subdural hematoma from venous extravasation, cases of both intraprocedural and delayed stent thrombosis, an ultimately fatal cerebellar hemorrhage resulting in acute obstructive hydrocephalus, venous microcatheter perforation during venography and manometry, and a patient who developed subarachnoid hemorrhage and subdural hematoma after cerebellar cortical vein perforation. The six cases are reviewed and learning points regarding complication avoidance and management are presented.ConclusionWe report on six rare, major complications after VSS for IIH. Familiarity with these potential complications and appropriate timely management may allow for good clinical outcomes.

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Cerebral venous overdrainage: an under-recognized complication of cerebrospinal fluid diversion

Barami

2016

FOC

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Understanding the altered physiology following cerebrospinal fluid (CSF) diversion in the setting of adult hydrocephalus is important for optimizing patient care and avoiding complications. There is mounting evidence that the cerebral venous system plays a major role in intracranial pressure (ICP) dynamics especially when one takes into account the effects of postural changes, atmospheric pressure, and gravity on the craniospinal axis as a whole. An evolved mechanism acting at the cortical bridging veins, known as the “Starling resistor,” prevents overdrainage of cranial venous blood with upright positioning. This protective mechanism can become nonfunctional after CSF diversion, which can result in posture-related cerebral venous overdrainage through the cranial venous outflow tracts, leading to pathological states. This review article summarizes the relevant anatomical and physiological bases of the relationship between the craniospinal venous and CSF compartments and surveys complications that may be explained by the cerebral venous overdrainage phenomenon. It is hoped that this article adds a new dimension to our therapeutic methods, stimulates further research into this field, and ultimately improves our care of these patients.

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Remote cerebellar hemorrhage: Report of 2 cases and review of literature

Cited by 4 publications

References 13 publications

Remote Cerebellar Hemorrhage after Removal of Large Convexity Meningioma

Remote Cerebellar Hemorrhage after Removal of Large Convexity Meningioma

Major complications of dural venous sinus stenting for idiopathic intracranial hypertension: case series and management considerations

Cerebral venous overdrainage: an under-recognized complication of cerebrospinal fluid diversion

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