Cerebellar haemorrhage as a complication after supratentorial craniotomy

König, Alexander; Laas, R.; Herrmann, H. D.

doi:10.1007/bf01404145

Cited by 104 publications

(65 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, it does not seem that the supratentorial craniotomy is the main factor for this entity. As speculated before, opening of cisterns and the ventricular system may cause CSF hypovolemia resulting in cerebellar sagging, transient occlusion of cerebellar bridging veins, leading to haemorrhagic infarction and haemorrhage (3,6,7). Downward displacement of the cerebellum after excessive drainage of CSF may also cause tearing of the superior cerebellar vein.…”

Section: Discussionmentioning

confidence: 91%

“…Although the entity is attributed to supratentorial craniotomies, the main point seems to be sinking of cerebellum and stretching of vascular structures following excessive drainage of the cerebrospinal fluid (CSF) (3,4,5,6). Here, we report a case of RCH in a patient with multiple cavernomas which occurred following removal of the symptomatic lesion.…”

Section: Introductionmentioning

confidence: 95%

“…Remote cerebellar haemorrhage (RCH) is usually a benign complication of supratentorial neurosurgical procedures (1,2,3,4,5,6,7). Although the entity is attributed to supratentorial craniotomies, the main point seems to be sinking of cerebellum and stretching of vascular structures following excessive drainage of the cerebrospinal fluid (CSF) (3,4,5,6).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Does ventricular opening promote remote cerebellar haemorrhage ?

Ziyal¹,

Bilginer²,

Yavuz³

et al. 2010

Turkish Neurosurgery

View full text Add to dashboard Cite

Cerebellar haemorrhage after supratentorial craniotomy is a rare complication Because of its significant morbidity and mortality rates, being aware of this complication is important for early diagnosis. In a 30-year-old male with multiple intracranial cavernomas, remote cerebellar haemorrhage (RCH) was observed after removal of symptomatic left temporal lesion. The lateral wall of the temporal horn that was tightly attached to the cavernoma was also opened and excessive drainage of the CSF occurred. The haemorrhage is attributed to opening of the ventricle wall and excessive drainage of cerebrospinal fluid (CSF) during the procedure. KeywOrds: Temporal, Cavernoma, Haemorrhage ÖZSupratentoryal kranyotomilerden sonra serebellar kanama görülmesi nadir bir komplikasyondur. Önemli derecede morbidite ve mortaliteye neden olması sebebiyle bu komplikasyonun farkında olmak erken tanı için önemlidir. Çoklu intrakranyal kavernoması olan 30 yaşındaki erkek hastada, sol temporaldeki semptomatik lezyonun çıkarılmasını takiben uzak serebellar kanama tespit edildi. Kavernom duvarına sıkıca yapışık olan lateral ventrikül temporal hornu ameliyatta açılarak fazla miktarda beyin omurilik sıvısı drene oldu. Kanama nedeni olarak ameliyat esnasında açılan ventrikül duvarından fazla miktarda beyin omurilik sıvısının kaybı düşünüldü.

show abstract

Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Does ventricular opening promote remote cerebellar haemorrhage ?

Ziyal¹,

Bilginer²,

Yavuz³

et al. 2010

Turkish Neurosurgery

View full text Add to dashboard Cite

show abstract

“…König et al were the first to suggest a reciprocal relationship between the removal of supratentorial contents, such as tumors or CSF, and a resulting rise in venous pressure eventually leading to hemorrhage. 15 Later, Yoshida et al suggested that excess CSF drainage causes stretching of the superior vermian vein and its tributaries, which leads to hemorrhage. 21 Friedman et al agreed with the downward displacement theory but speculated that cerebellar sag and venous occlusion lead to hemorrhagic venous infarction.…”

Section: Discussionmentioning

confidence: 99%

Upward transtentorial herniation following frontoorbital advancement for syndromic craniosynostosis: case report

Mehta

Bakhsheshian

Dorafshar

et al. 2015

FOC

View full text Add to dashboard Cite

The authors describe the case of a boy with Muenke syndrome, an autosomal dominant disorder associated with craniosynostosis. The family history was significant for syndromic craniosynostosis in the patient’s maternal grandmother, who died in adulthood after a craniofacial reconstruction. The patient, her grandson, underwent craniofacial reconstruction surgery at the age of 9 months and developed upward transtentorial herniation. Imaging findings revealed remote cerebellar hemorrhage after a large quantity of supratentorial CSF was drained during postoperative Day 1. The clinical course was further complicated by cerebral sinus thrombosis, which was diagnosed after a fourth surgical procedure. Upward transtentorial herniation can occur when a significant increase in intracranial pressure in the posterior fossa causes displacement of the central lobule and superior surfaces of the cerebellum upward through the incisura tentorii. This is a rare but well-documented phenomenon that commonly occurs in the setting of an expansive posterior fossa lesion or excessive supratentorial CSF loss. To help clinicians recognize and prevent this rare but potentially fatal complication, the authors review the postulated mechanisms by which this process may occur.

show abstract

“…A major factor associated with the development of this phenom- enon after spine surgery, as well as after supratentorial surgery, seems to be intracranial hypotension caused by excessive CSF drainage. Intracranial hypotension is an increase in the transluminal venous pressure, resulting in blood vessel rupture (13,14). Another explanation could be cerebellar sag, which in turn causes stretching and occlusion of the superior vermian veins (6).…”

Section: Discussionmentioning

confidence: 99%

Bilateral Late Remote Cerebellar Hemorrhage as a Complication of a Lumbo-Peritoneal Shunt Applied After Spinal Arteriovenous Malformation Surgery

Sasani

Özer

2010

The Journal of Spinal Cord Medicine

View full text Add to dashboard Cite

Background/Objective: Cerebellar hemorrhage is a very infrequent and unpredictable complication of spinal surgery. To the best of our knowledge, cerebellar hemorrhage resulting from the insertion of a lumbo-peritoneal shunt through which cerebrospinal fluid (CSF) is slowly drained has not been documented to date. Methods: Case report. Results: A 47-year-old woman presented with lower extremity weakness. Spinal arteriovenous malformation was diagnosed, and she underwent surgery. Her neurologic status improved; however, CSF collected subcutaneously as a cyst and leaked 21 days after surgery. The patient underwent urgent surgery during which the dural defect was repaired and a lumbo-peritoneal catheter was put in place to treat the CSF leakage. The lumbo-peritoneal drainage system was removed when bilateral cerebellar hemorrhage was seen 12 days later. Physical therapy was stopped, and conservative treatment was initiated consisting of bed rest, analgesics, sedatives, and careful monitoring of blood pressure. The patient's headache gradually resolved; physical therapy was restarted to rehabilitate this patient with paraparesis. Conclusions: Remote cerebellar hemorrhage seems to be life threatening and entails significant morbidity. Cerebellar symptoms, and even a late sudden headache after spinal surgery, may be signs of remote cerebellar hemorrhage, which is a rare complication.

show abstract

Cerebellar haemorrhage as a complication after supratentorial craniotomy

Cited by 104 publications

References 35 publications

Does ventricular opening promote remote cerebellar haemorrhage ?

Does ventricular opening promote remote cerebellar haemorrhage ?

Upward transtentorial herniation following frontoorbital advancement for syndromic craniosynostosis: case report

Bilateral Late Remote Cerebellar Hemorrhage as a Complication of a Lumbo-Peritoneal Shunt Applied After Spinal Arteriovenous Malformation Surgery

Contact Info

Product

Resources

About