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Cerebellar haemorrhage as a complication after supratentorial craniotomy

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Summary

Four cases are presented, in whom cerebellar haemorrhages appeared as a complication following supratentorial craniotomy for a giant aneurysm, for tumours in three cases. Two patients died. Intracranial hypotension in combination with disturbed blood coagulation is discussed as possible pathogenesis. Because this seems to be a rare complication-similar cases have not yet been described in the literature-its timely diagnosis may be missed.

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References

  1. Arseni C, Oprescu I (1959) Cerebellar hematomas. J Neurosurg 16: 503–507

    PubMed  Google Scholar 

  2. Auer LM, Auer Th, Sayama I (1986) Indications for surgical treatment of cerebellar haemorrhage and infarction. Acta Neurochir(Wien) 79: 74–79

    Google Scholar 

  3. Bitoh S, Hasegawa H, Fujiwara M, Sakurai M (1981) Angiographically occult vascular malformations causing intracranial hemorrhage. Surg Neurol 17: 35–42

    Article  Google Scholar 

  4. Bogousslavsky J, Regli F, Jeanrenaud X (1984) Benign outcome in unoperated large cerebellar haemorrhage. Report of 2 cases. Acta Neurochir (Wien) 73: 59–65

    Article  Google Scholar 

  5. Brennan RW, Bergland RM (1977) Acute cerebellar haemorrhage. Analysis of clinical findings and outcome in 12 cases. Neurology 27: 527–532

    PubMed  Google Scholar 

  6. Chin D, Carney P (1983) Acute cerebellar hemorrhage with brainstem compression in contrast with benign cerebellar hemorrhage. Surg Neurol 19: 406–409

    PubMed  Google Scholar 

  7. Conner ES, Lorenzo AV, Welch K, Dorval B (1983) The role of intracranial hypotension in neonatal intraventricular hemorrhage. J Neurosurg 58: 204–209

    PubMed  Google Scholar 

  8. Crawford JV, Russel DS (1956) Cryptic arteriovenous and venous harmatomas of the brain. J Neurol Neurosurg Psychiatry 19: 1–11

    Google Scholar 

  9. de Courten GM, Rabinowicz T (1981) Intraventricular hemorrhage in premature infants: reppraisal and new hypothesis. Dev Med Child Neurol 23: 389–403

    PubMed  Google Scholar 

  10. Dinsdale HB (1964) Spontaneous hemorrhage in the posterior fossa. A study of primary cerebellar and pontine hemorrhages with observations on their pathogenesis. Arch Neurol 10: 200–217

    PubMed  Google Scholar 

  11. Fang HCH, Foley JM (1954) Hypertensive hemorrhages of the pons and cerebellum. Trans Amer Neurol Ass 79: 126–130

    Google Scholar 

  12. Fisher CM, Picard EH, Polak A, Dalal P, Ojemann RG (1965) Acute hypertensive cerebellar hemorrhage: diagnosis and surgical treatment. J Nerv Ment Dis 140: 38–57

    PubMed  Google Scholar 

  13. Freeman JW, Onofrio BM, Okazaki H, Dinapoli RP (1973) Spontaneous intracerebellar hemorrhage. Diagnosis and surgical treatment. Neurology 23: 84–90

    PubMed  Google Scholar 

  14. Giroux JC, Leger JL (1962) Hematomas of the posterior cranial fossa. A report of three cases. Can Med Ass J 87: 59–61

    PubMed  Google Scholar 

  15. Grunnett ML, Shields WD (1976) Cerebellar hemorrhage in the premature infant. J Pediatr 88: 605–608

    PubMed  Google Scholar 

  16. Haines SJ, Maroon JC, Jannetta PJ (1978) Supratentorial intracerebral hemorrhage following posterior fossa surgery. J Neurosurg 49: 881–886

    PubMed  Google Scholar 

  17. Harders A, Gilsbach J, Weigel K (1985) Supratentorial space occupying lesions following infratentorial surgery: Early diagnosis and treatment. Acta Neurochir (Wien) 74: 57–60

    Google Scholar 

  18. Heimann TD, Satya-Murti S (1978) Benign cerebellar hemorrhages. Ann Neurol 3: 366–368

    PubMed  Google Scholar 

  19. Hyland HH, Levy D (1954) Spontaneous cerebellar haemorrhage. Can Med Ass J 71: 315–323

    PubMed  Google Scholar 

  20. Kase CS, Robinson K, Stein RW, DeWitt D, Hier DB, Harp DL, Williams JP, Caplan LR, Mohr JP (1985) Anticoagulant-related intracerebral hemorrhage. Neurology 35: 943–948

    PubMed  Google Scholar 

  21. Kempe LG (1985) Operative neurosurgery, vol 1. Cranial, cerebral and intracranial vascular disease. Springer, Berlin Heidelberg New York Tokyo, ed 4. pp 1–21

    Google Scholar 

  22. Labauge R, Boukobza M, Zinszner J, Blard JM, Pages M, Salvaing P (1983) Hématomes spontanés du cervelet. Vingt-huit observations personelles. Rev Neurol (Paris) 139: 193–204

    Google Scholar 

  23. Little JR, Tubman DE, Ethier R (1978) Cerebellar hemorrhage in adults. Diagnosis by computerized tomography. J Neurosurg 48: 575–579

    PubMed  Google Scholar 

  24. Madow L (1960) Pontine hemorrhage following cranial surgery for supratentorial tumor. Arch Neurol 2: 62–73

    PubMed  Google Scholar 

  25. Martin R, Roessmann U, Fanaroff A (1976) Massive intracerebellar hemorrhage in low-birth-weight infants. J Pediatr 89: 290–293

    PubMed  Google Scholar 

  26. McCormick WF, Nofzinger JD (1966) “Cryptic” vascular malformations of the central nervous system. J Neurosurg 24: 865–875

    PubMed  Google Scholar 

  27. McCormick WF, Rosenfield DB (1973) Massive brain hemorrhage: a review of 144 cases and an examination of their causes. Stroke 4: 946–954

    PubMed  Google Scholar 

  28. McKissock W, Richardson A, Walsh L (1960) Spontaneous cerebellar haemorrhage. A study of 34 consecutive cases treated surgically. Brain 83: 1–9

    Google Scholar 

  29. Mitchell N, Angrist A (1942) Spontaneous cerebellar hemorrhage. Report of fifteen cases. Am J Path 18: 235–253

    Google Scholar 

  30. Norris JW, Eisen AA, Branch CL (1969) Problems in cerebellar hemorrhage and infarction. Neurology 19: 1043–1050

    PubMed  Google Scholar 

  31. Odom GL, Tindall GT, Dukes HT (1961) Cerebellar hematoma caused by angiomatous malformations. Report of four cases. J Neurosurg 18: 777–782

    PubMed  Google Scholar 

  32. Ott KH, Kase CS, Ojemann RG, Mohr JP (1974) Cerebellar hemorrhage: diagnosis and treatment. A review of 56 cases. Arch Neurol 31: 160–167

    PubMed  Google Scholar 

  33. Rey-Bellet J (1960) Cerebellar hemorrhage. A clinicopathologic study. Neurology 10: 217–222

    Google Scholar 

  34. Seiler RW, Zurbrügg HR (1986) Supratentorial intracerebral hemorrhage after posterior fossa operation. Neurosurgery 18: 472–474

    PubMed  Google Scholar 

  35. Shenkin HA, Zavala M (1982) Cerebellar strokes: mortality, surgical indications, and results of ventricular drainage. Lancet 2: 429–432

    PubMed  Google Scholar 

  36. Silverstein A (1961) Intracranial hemorrhage in patients with bleeding tendencies. Neurology 11: 310–317

    Google Scholar 

  37. Simmons MA, Adcock EW, Bard H, Battaglia FC (1974) Hypernatremia and intracranial hemorrhage in neonates. N Engl J Med 291: 6–10

    PubMed  Google Scholar 

  38. Standefer M, Bay JW, Trusso R (1984) The sitting position in neurosurgery: a retrospective analysis of 488 cases. Neurosurgery 14: 649–658

    PubMed  Google Scholar 

  39. Welch K (1980) The intracranial pressure in infants. J Neurosurg 52: 693–699

    PubMed  Google Scholar 

  40. Yoshida S, Kwak S, Saito I, Sano K (1981) Hypertensive cerebellar hemorrhage and cerebellar hemorrhage caused by cryptic angioma: analysis of clinical observations, CT findings and outcome. Neurol Med Chir (Tokyo) 21: 735–749

    Google Scholar 

  41. Young RSK, Yagel SK, Woods CL (1984) The effects of sodium bicarbonate on brain blood flow, brain water content, and bloodbrain barrier in the neonatal dog. Acta Neuropathol (Berl) 65: 124–127

    Article  Google Scholar 

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König, A., Laas, R. & Herrmann, H.D. Cerebellar haemorrhage as a complication after supratentorial craniotomy. Acta neurochir 88, 104–108 (1987). https://doi.org/10.1007/BF01404145

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