Remote cerebellar haemorrhage

Case contributed by Dr Charlie Chia-Tsong Hsu

Presentation

Day 1 post surgical clipping of an aneurysm in the A1 segment of right anterior cerebral artery.

Patient Data

Age: 55
Gender: Male

Day 1 post surgical clipping of an aneurysm in the A1 segment right anterior cerebral artery via frontal craniotomy approach. Post operative non contrast CT brain with demonstrate right cerebellar hemisphere haemorrhage with minimal surrounding oedema and mass effect. Sagittal bone window demonstrate the midline aneurysm clip.

Case Discussion

Remote cerebellar haemorrhage is a recognised complication of supratentorial craniotomy for various reasons including surgical clipping of aneurysm. The haemorrhage is usually small in size without significant mass thus self limiting. Larger haemorrhage with compression of the fourth ventricle may require intervention. Etiological factors such as hypertension, anticoagulation or other have not been fully elucidated. 

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Case information

rID: 25810
Case created: 10th Nov 2013
Last edited: 4th Mar 2016
Inclusion in quiz mode: Excluded

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