2004
DOI: 10.1590/s0004-282x2004000300026 View full text |Buy / Rent full text
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Abstract: -Cerebellar hemorrhage is listed among the potential complications following neurosurgical procedures. In this scenario it is usually reported as a rare condition. However, it seems that epilepsy surgery patients are somewhat more prone to this kind of complication, compared to other surgical groups. Head positioning, excessive cerebral spinal fluid draining and the excision of non-expanding encephalic tissue (or combinations among the three) are likely to be cause underlying remote cerebellar hemorrhage. Out … Show more

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“…9) RCH is generally associated with supratentorial craniotomies in vascular neurosurgery or temporal lobectomy for epilepsy, occurring after approximately 0.6% of all supratentorial craniotomies, 2.8% of craniotomies to treat unruptured aneurysms, and 1.4% of craniotomies for temporal lobectomy, 9) and after 2.5% of temporal lobectomies for epilepsy. 6) RCH is often asymptomatic, so some patients with remote hemorrhage do not undergo postoperative imaging and the hemorrhage is not identified. Superior cerebellar folia, the most common pattern demonstrated by CT, may be ascribed to postoperative blood in the subarachnoid space layering on top of the folia, 9) forming a streaky bleeding pattern appearing as the zebra sign.…”
Section: Discussionmentioning
“…Cerebellar hemorrhaging remote to the operative field is a very rare complication with an incidence ranging from 0.29% to 0.5% during the acute postoperative period [3][4][5][6][7][8][9][10]. The exact pathogenesis of remote cerebellar hemorrhage after supratentorial surgery has not been well characterized [3,[10][11][12][13][14][15][16]. Increasing evidence, however, indicates that this zebratype hemorrhage may be attributed to acute massive CSF drainage [1,2,5,7,8,15,[17][18][19][20][21][22].…”
Section: Discussionmentioning
“…Los HCD han sido descritos como complicación de cirugía intracraneal 4,6,8,10,12,[16][17][18]22,23,27,31,[34][35][36][37][38] . Las intervenciones donde se describe con más frecuencia este tipo de complicación son la lobectomía temporal o frontal para el tratamiento de la epilepsia o la cirugía de aneurismas 10, 16,31,34 .…”
Section: Discussionunclassified
“…Sin embargo se han descrito otras más graves, como infecciones 1,20,28 , neumoencéfalo 1,14 , parálisis de cuerda vocal 28 , infarto cerebral 28 , hemorragias cerebrales múltiples 29 o herniación transtentorial 3,32 . A su vez los HCD han sido descritos como una complicación rara tras cirugía supratentorial 4,6,8,10,12,[16][17][18]22,23,27,31,34,35,[36][37][38] y, menos frecuentemente tras cirugía raquídea con apertura dural 2,7,9,11,13,19,21,25,26,30,33 , aparentemente en relación con la pérdida de LCR.…”
Section: Introductionunclassified
“…Sin embargo se han descrito otras más graves, como infecciones 1,20,28 , neumoencéfalo 1,14 , parálisis de cuerda vocal 28 , infarto cerebral 28 , hemorragias cerebrales múltiples 29 o herniación transtentorial 3,32 . A su vez los HCD han sido descritos como una complicación rara tras cirugía supratentorial 4,6,8,10,12,[16][17][18]22,23,27,31,34,35,[36][37][38] y, menos frecuentemente tras cirugía raquídea con apertura dural 2,7,9,11,13,19,21,25,26,30,33 , aparentemente en relación con la pérdida de LCR.…”
Section: Introductionunclassified