Remote cerebellar hemorrhage
Updates to Article Attributes
A remote cerebellar haemorrhage is a relatively benign and extremely rare complication of supratentorial craniotomy or spinal surgery 1-2. It is called remote as the cause is far from location of the haemorrhage.
It has been postulated that post surgical CSF hypo volaemia causes cerebellar sagging and occlusion of superior penetrating veins and hence haemorrhagic infarction.
Most patients are asymptomatic 2. When symptomatic delayed awakening from anesthesia and reduced level of consciousness are of the frequently reported symptoms.It It often tends to have a self limiting course.
Cerebellar haemorrhage could be contralateral or ipsilateral to the site of surgery and sometimes on both sides or even could be isolated to the vermis.
Most common radiologic finding is layering of blood over superior folia "zebra sign" 3,4and less frequently it could be intra parenchymal or lobar haemorrhage.
The right clinical setting is invaluable for image interpretation.
-<p>A <strong>remote cerebellar haemorrhage</strong> is a relatively benign and extremely rare complication of supratentorial craniotomy or spinal surgery <sup>1-2</sup>. It is called remote as the cause is far from location of the haemorrhage. </p><p>It has been postulated that post surgical CSF hypo volaemia causes cerebellar sagging and occlusion of superior penetrating veins and hence haemorrhagic infarction.</p><p>Most patients are asymptomatic <sup>2</sup>. When symptomatic delayed awakening from anesthesia and reduced level of consciousness are of the frequently reported symptoms. <span style="line-height:13.8666658401489px">It often tends to have a self limiting course. </span></p><p>Cerebellar haemorrhage could be contralateral or ipsilateral to the site of surgery and sometimes on both sides or even could be isolated to the vermis.</p><p>Most common radiologic finding is layering of blood over superior folia "zebra sign" and less frequently it could be intra parenchymal or lobar haemorrhage. </p><p>The right clinical setting is invaluable for image interpretation.</p>- +<p>A <strong>remote cerebellar haemorrhage</strong> is a relatively benign and extremely rare complication of supratentorial craniotomy or spinal surgery <sup>1-2</sup>. It is called remote as the cause is far from location of the haemorrhage. </p><p>It has been postulated that post surgical CSF hypo volaemia causes cerebellar sagging and occlusion of superior penetrating veins and hence haemorrhagic infarction.</p><p>Most patients are asymptomatic <sup>2</sup>. When symptomatic delayed awakening from anesthesia and reduced level of consciousness are of the frequently reported symptoms. It often tends to have a self limiting course. </p><p>Cerebellar haemorrhage could be contralateral or ipsilateral to the site of surgery and sometimes on both sides or even could be isolated to the vermis.</p><p>Most common radiologic finding is layering of blood over superior folia "zebra sign" <sup>3,4</sup> and less frequently it could be intra parenchymal or lobar haemorrhage. </p><p>The right clinical setting is invaluable for image interpretation.</p>
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