Remote cerebellar hemorrhage after the evacuation of a subdural hematoma: a case report

Remote intracranial hemorrhage is postoperative bleeding that occurs away from the surgical site. Remote cerebellar hemorrhage (RCH) is a cerebellar hemorrhage that may occur in 0.04-0.8% of cases after supratentorial and spinal procedures. We report a case of a 73-year-old male who developed signs...

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Published inThe Pan African medical journal Vol. 41; p. 24
Main Authors Taieb, Mohamed Amine Hadj, Maamri, Kais, Trifa, Amine, Elkahla, Ghassen, Hadhri, Mohamed Maher, Darmoul, Mehdi
Format Journal Article
LanguageEnglish
Published Uganda The African Field Epidemiology Network 01.01.2022
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Summary:Remote intracranial hemorrhage is postoperative bleeding that occurs away from the surgical site. Remote cerebellar hemorrhage (RCH) is a cerebellar hemorrhage that may occur in 0.04-0.8% of cases after supratentorial and spinal procedures. We report a case of a 73-year-old male who developed signs of increased intracranial pressure two days after the evacuation of a subdural hematoma. Brain computed tomography showed RCH with the "zebra sign" and triventricular hydrocephalus that indicated the placement of external ventricle drain in emergency. Therefore, surgeons must pay special attention to this rare postoperative complication because it can be devastating in terms of patient outcome especially due to its possible complications requiring surgical treatment.
ISSN:1937-8688
1937-8688
DOI:10.11604/pamj.2022.41.24.32799