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KMID : 0942820090080020212
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Journal of Korean Brain Tumor Society
2009 Volume.8 No. 2 p.212 ~ p.214
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Bilateral Intracerebellar Hemorrhage Following the Left Sylvian Tumor Surgery
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Seok Ju-Wan
Kim Choong-Hyun
Hong Hyun-Jong
Cheong Jin-Hwan
Kim Jae-Min
Oh Young-Ha
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Abstract
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Hemorrhagic complications may be occasionally developed after intracranial surgery. However, remote cerebellar emorrhage(RCH) following supratentorial surgery is uncommonly reported. A 49-year-old male presented with seizure, which was characterized by a generalized tonic-clonic type for 3 times. There was a well-enhanced round mass in the preoperative brain magnetic resonance(MR) image. We performed tumor resection with left frontotemporal craniotomy. Pathological examination of tumor specimen was confirmed as a malignant meningioma. There was no hypertensive event or coagulopathy in the perioperative period. On the follow-up brain computed tomography(CT) scans taken at 48 hours after surgery, it revealed bilateral streaky intracerebellar hemorrhage. The patient was recovered by the conservative treatment without any neurological deficits. This case report emphasizes an importance of close monitoring of patients to detect rarely occurring complications like RCH. The authors also review pertinent literatures and discuss a pathogenesis of RCH.
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KEYWORD
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Complication, Intracerebellar hemorrhage, Surgery, Sylvian tumor
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