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KMID : 0942820050040010026
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Journal of Korean Brain Tumor Society
2005 Volume.4 No. 1 p.26 ~ p.31
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Clinical Analysis of Cerebellar Hemorrhage after Supratentorial Surgery
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Jeon Ki-Hyun
Kim Seon-Hwan
Koh Hyeon-Song
Youm Jin-Young
Song Shi-Hun
Kim Youn
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Abstract
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Objective: Cerebellar hemorrhage after supratentorial surgery is a very seldom but serious complication. The purpose of this study is to analyze the available clinical data on cerebellar hemorrhage after supratentorial surgery and apply them to treatment for the better prognosis.
Methods: Between 1995 and 2004, we experienced 5 cases of cerebellar hemorrhage after supratentorial surgery. We analyzed the data of 71 cases of cerebellar hemorrhage after supratentorial surgery about demographics, radiologic findings, risk factors, treatments and prognosis via retrospective study(5 from our records and 66 from the literature).
Results: The incidence of cerebellar hemorrhage after supratentorial surgery is 0.2% in the literature and 0.17% in our hospital. Twenty two patients(30.9%) were operated on for aneurysms, and 21 patients(29.5%) were operated on for tumors. Sixty cases were positioned supine with head rotation and 58 cases underwent cerebrospinal fluid drainage during surgery. Cerebellar hemorrhage after supratentorial surgery carries a mortality of about 22%.
Conclusion: Remote cerebellar hemorrhage most commonly follows supratentorial surgery, performed with the patient in the supine position with head rotation, that involve opening of cerebrospinal fluid cisterns or the ventricular system. The most important keys to minimize this hazardous sequela are to be aware of this potential complication, diagnose it early and treat it promptly.
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KEYWORD
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Cerebellar hemorrhage, Remote hemorrhage, Supratentorial surgery
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