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Acta Neurochirurgica
Published in: Acta Neurochirurgica 2/2013

01-02-2013 | Case Report

Remote peritentorial hemorrhage complicating supratentorial aneurysmal surgery: a report of three cases and literature review

Authors: Dongyuan Li, Chao Fu, Donghui Xu, Libo Sun, Weidong Yu, Conghai Zhao

Published in: Acta Neurochirurgica | Issue 2/2013

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Abstract

We herein coin the term “remote peritentorial hemorrhage (RPTH)” and present three cases with “RPTH” after supratentorial aneurysmal surgeries, including two with remote cerebellar hemorrhage (RCH) and one with remote temporobasal hemorrhage. The RCH may result from rupture of the superior cerebellar veins due to excessive cerebrospinal fluid (CSF) loss. The mechanism behind the remote temporobasal hemorrhage may be similar to that of RCH. It can be explained by tearing of the temporobasal veins as a result of brain shift owing to intracranial hypotension stemming from intensive loss of CSF. As far as we know, this is the first report of such a bleeding pattern of probable venous origin. The results of this study could shed light on the “RPTH” physiopathology.
Literature
1.
Alaraj A, Munson T, Herrera SR, Aletich V, Charbel FT, Amin-Hanjani S (2011) Angiographic features of “brain sag”. J Neurosurg 115:586–591PubMedCrossRef
2.
Amini A, Osborn AG, McCall TD, Couldwell WT (2006) Remote cerebellar hemorrhage. AJNR Am J Neuroradiol 27:387–390PubMed
3.
Brisman MH, Bederson JB, Sen CN, Germano IM, Moore F, Post KD (1996) Intracerebral hemorrhage occurring remote from the craniotomy site. Neurosurgery 39:1114–1121PubMedCrossRef
4.
5.
Brockmann MA, Nowak G, Reusche E, Russlies M, Petersen D (2005) Zebra sign: cerebellar bleeding pattern characteristic of cerebrospinal fluid loss. Case report. J Neurosurg 102:1159–1162PubMedCrossRef
6.
Cloft HJ, Matsumoto JA, Lanzino G, Cail WS (1997) Posterior fossa hemorrhage after supratentorial surgery. AJNR Am J Neuroradiol 18:1573–1580PubMed
7.
8.
Figueiredo EG, de Amorim RL, Teixeira MJ (2009) Remote cerebellar hemorrhage (zebra sign) in vascular neurosurgery: pathophysiological insights. Neurol Med Chir (Tokyo) 49:229–233CrossRef
9.
Friedman JA, Ecker RD, Piepgras DG, Duke DA (2002) Cerebellar hemorrhage after spinal surgery: report of two cases and literature review. Neurosurgery 50:1361–1363PubMed
10.
Friedman JA, Piepgras DG, Duke DA, McClelland RL, Bechtle PS, Maher CO, Morita A, Perkins WJ, Parisi JE, Brown RD Jr (2001) Remote cerebellar hemorrhage after supratentorial surgery. Neurosurgery 49:1327–1340PubMedCrossRef
11.
Gelfenbeyn M, Vasil’ev S, Krylov V (2001) Cerebellar haemorrhage after supratentorial aneurysm surgery with lumbar drainage. Neurosurg Rev 24:214–219PubMedCrossRef
12.
Giulioni M, Martinoni M (2011) Postoperative intracranial haemorrhage and remote cerebellar haemorrhage. Neurosurg Rev 34:523–525PubMedCrossRef
13.
Honegger J, Zentner J, Spreer J, Carmona H, Schulze-Bonhage A (2002) Cerebellar hemorrhage arising postoperatively as a complication of supratentorial surgery: a retrospective study. J Neurosurg 96:248–254PubMedCrossRef
14.
Huang CY, Lee PH, Lin SH, Chuang MT, Sun YT, Hung YC, Lee EJ (2012) Remote cerebellar hemorrhage following supratentorial craniotomy. Neurol Res 34:422–429PubMedCrossRef
15.
Jang JW, Joo SP, Kim JH, Kim SH (2006) Remote cerebellar hemorrhage after supratentorial aneurysmal surgery: report of six cases. J Korean Neurosurg Soc 39:370–373
16.
Kaneko T, Koyanagi I, Murakami T (2011) Remote cerebellar hemorrhage after foramen magnum decompression surgery for Chiari I malformation–case report. Neurol Med Chir (Tokyo) 51:134–136CrossRef
17.
Koller M, Ortler M, Langmayr J, Twerdy K (1999) Posterior-fossa haemorrhage after supratentorial surgery—report of three cases and review of the literature. Acta Neurochir (Wien) 141:587–592CrossRef
18.
Komotar RJ, Mocco J, Ransom ER, Mack WJ, Zacharia BE, Wilson DA, Naidech AM, McKhann GM 2nd, Mayer SA, Fitzsimmons BF, Connolly ES Jr (2005) Herniation secondary to critical postcraniotomy cerebrospinal fluid hypovolemia. Neurosurgery 57:286–292PubMedCrossRef
19.
20.
König A, Laas R, Herrmann HD (1987) Cerebellar hemorrhage as a complication after supratentorial craniotomy. Acta Neurochir (Wien) 88:184–188CrossRef
21.
Konya D, Ozgen S, Pamir MN (2006) Cerebellar hemorrhage after spinal surgery: case report and review of the literature. Eur Spine J 15:95–99PubMedCrossRef
22.
Landeiro JA, Flores MS, Lapenta MA, Galdino AC, Lázaro BC (2004) Remote hemorrhage from the site of craniotomy. Arq Neuropsiquiatr 62:832–834PubMedCrossRef
23.
Lee JW, Yim MB, Lee JC, Son EI, Kim DW, Kim IH (1996) Intracerebral hemorrhage remote from the site of aneurysm surgery. J Korean Neurosurg Soc 25:834–841
24.
Lehmann P, Saliou G (2011) Remote cerebellar haemorrhage. Eur J Radiol Extra 77:e29–e33CrossRef
25.
Marquardt G, Setzer M, Schick U, Seifert V (2002) Cerebellar hemorrhage after supratentorial craniotomy. Surg Neurol 57:241–251PubMedCrossRef
26.
Maruyama T, Ishii K, Isono M, Abe T, Fujiki M, Kobayashi H (2004) Remote cerebellar hemorrhage following supratentorial craniotomy—case report. Neurol Med Chir (Tokyo) 44:294–297CrossRef
27.
Papanastassiou V, Kerr R, Adams C (1996) Contralateral cerebellar hemorrhagic infarction after pterional craniotomy: report of five cases and review of the literature. Neurosurgery 39:841–851PubMedCrossRef
28.
Park JS, Hwang JH, Park J, Hamm IS, Park YM (2009) Remote cerebellar hemorrhage complicated after supratentorial surgery: retrospective study with review of articles. J Korean Neurosurg Soc 46:136–143PubMedCrossRef
29.
30.
Siu TL, Chandran KN, Siu T (2003) Cerebellar haemorrhage following supratentorial craniotomy. J Clin Neurosci 10:378–384PubMedCrossRef
31.
Tomii M, Nakajima M, Ikeuchi S, Ogawa T, Abe T (1999) Infratentorial hemorrhage following supratentorial surgery. No Shinkei Geka 27:921–925PubMed
32.
Tucker A, Miyake H, Tsuji M, Ukita T, Nishihara K (2007) Remote cerebellar hemorrhage after supratentorial unruptured aneurysmal surgery: report of three cases. Neurol Res 29:493–499PubMedCrossRef
33.
van Calenbergh F, Goffin J, Plets C (1993) Cerebellar hemorrhage complicating supratentorial craniotomy: report of two cases. Surg Neurol 40:336–338PubMedCrossRef
34.
Waga S, Shimosaka S, Sakakura M (1983) Intracerebral hemorrhage remote from the site of the initial neurosurgical procedure. Neurosurgery 13:662–665PubMedCrossRef
35.
Yoshida S, Yonekawa Y, Yamashita K, Ihara I, Morooka Y (1990) Cerebellar hemorrhage after supratentorial craniotomy—report of three cases. Neurol Med Chir (Tokyo) 30:738–743CrossRef
36.
Ziyal I, Bilginer B, Yavuz K, Turk C, Ozgur C, Benli K (2012) Does ventricular opening promote remote cerebellar haemorrhage? Turk Neurosurg 22:102–104PubMed
Metadata
Title
Remote peritentorial hemorrhage complicating supratentorial aneurysmal surgery: a report of three cases and literature review
Authors
Dongyuan Li
Chao Fu
Donghui Xu
Libo Sun
Weidong Yu
Conghai Zhao
Publication date
01-02-2013
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 2/2013
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-012-1540-9

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