Cerebellar hemorrhage after resection of frontal meningioma. Case report

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Introduction: Remote cerebellar hemorrhage is an infrequent complication, potentially harmful with an unclear etiologic mechanism.

There may be incriminated multiple risk factors: arterial hypertension, use of antiplatelet medication (Aspenter), CSF aspiration or drainage associated with intracranial hypotension.

Material and methods: We present a 69 year old woman with remote intracerebral hemorrhage that occurred after frontal parasagittal meningioma resection.

Results: An inadequate oral hydration was responsible for decreased level of consciousness, cerebellar and parietaloccipital cortical-sub-cortical contra-lateral hemorrhages. Close monitoring of water balance and adequate hydration is related to clinical improvement and resolution of brain imaging.

Conclusion: Retraction of the brain due to intracranial hypotension led to some small vessels rupture and development of remote cerebellar hemorrhage.

1. Friedman, J.A., Piepgras, D.G., Duke, D.A., et al - Remote cerebellar hemorrhage after supratentorial surgery. Neurosurgery 49, 1327:1340, 2001.

2. Papanastasion, V., Kerr, R., Adams, C. - Contralateral cerebellar hemorrhagic infarction after pterional craniotomy: Report of five cases and review of the literature. Neurosurgery 39(4), 841:852, 1996.

3. Van Gehuchten, P. - Le mécanisme de la mort dans certains cas de tumeur cérébrale. Encéphale 2, 113:127, 1937.

4. König, A., Laas, R., Hermann, H.D. - Cerebellar hemorrhage as a complication after supratentorial craniotomy. Acta neurochir (Wien) 88, 104:108, 1987.

5. Marquardt, G., Setzer, M., Schick, U., Seifert, Y. - Cerebellar hemorrhage after supratentorial craniotomy. Surg Neurol 57, 241:251; discussion 251-252, 2002.

6. Madow, L. - Pontine hemorrhage following cranial surgery for supratentorial tumor. Arch Neurol 2, 62:73, 1960.

7. Poppen, J.L., Kendrick, J.F., Hicks, S.P. - Brain stem hemorrhages secondary to supratentorial space-taking lesions. J. Neuropathol Exp Neurol 11, 267:279, 1952.

8. Yoshida, S., Yonekawa, Y., Yamashita, K., et al - Cerebellar hemorrhage after supratentorial craniotomy: Report of three cases. Neurol Med Chir (Tokyo) 30, 738:743, 1990.

9. Chang, S.H., Yang, S.H., Son, B.C., et al - Cerebellar hemorrhage after burr hole drainage of supratentorial chronic subdural hematoma. J Korean Neurosurg Soc 46, 592:595, 2009.

Romanian Neurosurgery

The Journal of Romanian Society of Neurosurgery

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