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KMID : 1005420220240030276
Journal of Cerebrovascular and Endovascular Neurosurgery
2022 Volume.24 No. 3 p.276 ~ p.280
Remote cerebellar hemorrhage after a neurosurgical procedure: A report of three cases
Lee Won-Seok

Kim Tae-Hoon
Kim Hye-Seon
Kim Jeong-Eun
Baek Kyeong-Hee
Koh Eun-Jung
Kim Kyung-Hwan
Ha Eun-Jin
Abstract
Remote cerebellar hemorrhage (RCH) is a rare complication of neurosurgical procedures and is characterized by a typical bleeding pattern defined as the ¡°zebra sign.¡± Only few cases of RCH have been reported in the English literature, and its pathophysiology remains unclear. In this report, we present the cases of three patients with RCH after three different procedures: burr-hole trephination and chronic subdural hematoma evacuation of bilateral cerebral convexity with subsequent subdural drain insertion, lumbar drainage for cerebrospinal fluid divergence for thoracic endovascular aortic repair, and combined bypass surgery for moyamoya disease.
KEYWORD
Remote cerebellar hemorrhage, Complication, Cerebrospinal fluid, Intracranial pressure, Zebra sign, Neurosurgical procedure
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