Remote Cerebellar Haemorrhage Occurring after Transcranial Pituitary Surgery

Post supratentorial and spinal surgeries, in rare cases, Remote Cerebellar Haemorrhage (RCH) develops as a complication. Although the exact aetiology of RCH remains uncertain, excessive drainage of the Cerebrospinal Fluid (CSF) is accepted as the most possible cause. It has been suggested that overd...

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Published inJournal of clinical and diagnostic research Vol. 11; no. 8; pp. PD15 - PD16
Main Authors Karaarslan, Numan, Gürbüz, Mehmet Sabri, Caliskan, Tezcan, Tunckale, Tamer
Format Journal Article
LanguageEnglish
Published Delhi, India JCDR Research and Publications (P) Limited 01.08.2017
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Surgery Section
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Summary:Post supratentorial and spinal surgeries, in rare cases, Remote Cerebellar Haemorrhage (RCH) develops as a complication. Although the exact aetiology of RCH remains uncertain, excessive drainage of the Cerebrospinal Fluid (CSF) is accepted as the most possible cause. It has been suggested that overdrainage of CSF leads to stretching and resultantly tearing of the cerebellar veins. Early diagnosis and appropriate management decrease mortality and morbidity significantly. In this report, we present a case of RCH encountered on the third postoperative day of transcranial pituitary surgery and discuss the possible causative factors. Excessive loss of CSF is considered to be the major cause of RCH. To our knowledge this is the first case of RCH seen after transcranial macroadenoma surgery reported in the literature so far.
ISSN:2249-782X
0973-709X
DOI:10.7860/JCDR/2017/29152.10465