Remote cerebellar hemorrhage following supratentorial cerebrovascular surgery |
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| Affiliation: | 1. Department of Radiology, Ilsan Paik Hospital, Inje University School of Medicine, 2240, Daehwa-dong, Ilsanseo-gu, Goyang-si, Gyeonggi-do 411-706, Republic of Korea;2. Department of Neurology, Ilsan Paik Hospital, Inje University School of Medicine, Goyang-si, Gyeonggi-do, Republic of Korea;1. Department of Neurosurgery, Neurological Institute, S-40, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA;2. Department of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, OR, USA;3. Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland Clinic, Cleveland, OH, USA;1. Dardinger Microneurosurgical Skull Base Laboratory, Department of Neurological Surgery, Ohio State University Medical Center, N1025 Doan Hall, 410 W. 10th Avenue, Columbus, OH 43210, USA;2. Department of Neurology, Ohio State University, Columbus, OH, USA;3. Department of Radiation Oncology, Ohio State University, Columbus, OH, USA;4. Center for Biostatistics, Ohio State University, Columbus, OH, USA |
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| Abstract: | Three patients with remote cerebellar hemorrhage following supratentorial cerebrovascular surgery are presented. Remote cerebellar hemorrhage is a rare surgical complication that is most often associated with aneurysm clipping or temporal lobectomies. Bleeding occurs on the superior cerebellar cortex and is believed to be venous in origin. The precise pathogenesis of remote cerebellar hemorrhage has yet to be fully elucidated but is generally considered to be a consequence of intraoperative cerebrospinal fluid loss causing caudal displacement of the cerebellum with resultant stretching of the supracerebellar veins. This case series will hopefully shed further light on the incidence, presentation, workup, and treatment of this particular complication of supratentorial surgery. |
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| Keywords: | Aneurysm Cerebellum Cerebrovascular disorders Craniotomy |
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