Presentation
Day 1 post surgical clipping of an aneurysm in the A1 segment of right anterior cerebral artery.
Patient Data
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
Day 1 post-surgical clipping of an aneurysm in the A1 segment right anterior cerebral artery via frontal craniotomy approach. Postoperative non-contrast CT brain with demonstrate right cerebellar hemisphere hemorrhage with minimal surrounding edema and mass effect. Sagittal bone window demonstrates the midline aneurysm clip.
Case Discussion
Remote cerebellar hemorrhage is a recognized complication of supratentorial craniotomy for various reasons including surgical clipping of aneurysm. The hemorrhage is usually small in size without significant mass thus self-limiting. Larger hemorrhage with compression of the fourth ventricle may require intervention. Etiological factors such as hypertension, anticoagulation or others have not been fully elucidated.
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