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