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Brain Science Advances 2017, 3(2): 90-96 https://doi.org/10.18679/CN11-6030_R.2017.010
Original Article | Open Access | Issue | Published: 01 June 2017

Severe remote cerebellar hemorrhage with intracerebral hemorrhage after burr-hole evacuation for chronic subdural hematoma

Show Author's Information Hua Yu1,§,  Song Tong2,§,  Ahmed Abdelmaksoud1,  Fu Peng1,  Huang Tao1,  Yizhi Huang1,  Weichao Liu1,  Yuan Ye1,  Raya A. Almaraihah3,  Nanxiang Xiong1( )
Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
Department of Thoracic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
Department of International Education, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China

§These authors contributed equally to this work.

Keywords:
complication, intracerebral hemorrhage, subdural hematoma, burr-hole craniotomy, remote cerebellar hemorrhage
Cite this article:
Yu H, Tong S, Abdelmaksoud A, et al. Severe remote cerebellar hemorrhage with intracerebral hemorrhage after burr-hole evacuation for chronic subdural hematoma. Brain Science Advances, 2017, 3(2): 90-96. https://doi.org/10.18679/CN11-6030_R.2017.010
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Abstract Full text About this article

Since remote cerebellar hemorrhage, with intracerebral hemorrhage after supratentorial neurosurgery, is rare, its pathophysiology remains elusive. Here, we report a 64-year-old man who had severe bilateral symmetric remote cerebellar hemorrhage with frontal lobe hemorrhage following burr-hole evacuation for supratentorial chronic subdural hematoma. Computed tomography venography showed undeveloped left internal jugular vein and sigmoid sinus. He received 3 weeks of conservative treatment and fully recovered. Overdrainage of cerebrospinal fluid and head rotation with undeveloped internal jugular vein may have resulted in this complication. This case is the first case in the literature with this event sequence and has some significance for revealing the mechanism of remote cerebellar hemorrhage occurrence after other supratentorial surgeries.


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About this article

Severe remote cerebellar hemorrhage with intracerebral hemorrhage after burr-hole evacuation for chronic subdural hematoma

Show Author's information Hua Yu1,§, Song Tong2,§, Ahmed Abdelmaksoud1, Fu Peng1, Huang Tao1, Yizhi Huang1, Weichao Liu1, Yuan Ye1, Raya A. Almaraihah3, Nanxiang Xiong1( )
Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
Department of Thoracic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
Department of International Education, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China

§These authors contributed equally to this work.

Abstract

Since remote cerebellar hemorrhage, with intracerebral hemorrhage after supratentorial neurosurgery, is rare, its pathophysiology remains elusive. Here, we report a 64-year-old man who had severe bilateral symmetric remote cerebellar hemorrhage with frontal lobe hemorrhage following burr-hole evacuation for supratentorial chronic subdural hematoma. Computed tomography venography showed undeveloped left internal jugular vein and sigmoid sinus. He received 3 weeks of conservative treatment and fully recovered. Overdrainage of cerebrospinal fluid and head rotation with undeveloped internal jugular vein may have resulted in this complication. This case is the first case in the literature with this event sequence and has some significance for revealing the mechanism of remote cerebellar hemorrhage occurrence after other supratentorial surgeries.

Keywords: complication, intracerebral hemorrhage, subdural hematoma, burr-hole craniotomy, remote cerebellar hemorrhage

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Publication history
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Publication history

Received: 02 February 2017
Revised: 16 March 2017
Accepted: 31 March 2017
Published: 01 June 2017
Issue date: June 2017

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© The authors 2017.

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This article is published with open access at www.TNCjournal.com

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