Supratentorial hematoma during infratentorial surgery: A short series of three cases

Abstract

Distant site hematoma formation may complicate an otherwise uneventful surgery. The authors describe three cases of such unexpected complications, while operating upon infratentorial lesions in prone position. Pathophysiology behind such complications and changes in intraoperative monitoring is discussed, along with all the previously reported cases. Of the three cases, there was one death, while rest of the two cases made eventless recovery. Meticulous hemostasis, isolation of operative site, avoidance of cerebrospinal fluid over-drainage during surgery may prevent such a complication. Careful interpretation of vital-monitoring may indicate the occurrence of such a complication.

Acute supratentorial subdural hematoma after craniocervical junction arachnolysis in a patient with posttraumatic syringomyelia; case report and literature review

“…13 Acute supratentorial SDH following posterior fossa surgery or CSF diversion surgeries has rarely been reported before. 6,7,[14][15][16][17][18][19][20][21][22] We herein present a case of acute supratentorial SDH following arachnolysis of delayed posttraumatic CVJ adhesive arachnoiditis.…”

“…These include epidural (EDH), subdural (SDH), or intraparanchymal hematomas following various brain or spine surgeries 13 . Acute supratentorial SDH following posterior fossa surgery or CSF diversion surgeries has rarely been reported before 6,7,14–22 . We herein present a case of acute supratentorial SDH following arachnolysis of delayed posttraumatic CVJ adhesive arachnoiditis.…”