Remote Cerebellar Hemorrhage after Removal of a Supratentorial Glioma without Perioperative CSF Loss : A Case Report
Joint Authors
Yamamoto, Tetsuya
Hara, Takuma
Watanabe, Shinya
Nakai, Kei
Matsuda, Masahide
Matsumura, Akira
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-21
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
A 44-year-old man presented with the rare complication of remote cerebellar hemorrhage (RCH) after removal of a supratentorial glioma without the loss of a large volume of cerebrospinal fluid (CSF).
He presented with severe headache, nausea, and vomiting for a few days, then he developed neurological deterioration including progressive disturbance of consciousness and left hemiparesis.
Magnetic resonance imaging revealed a large tumor with intratumoral hemorrhage in the right frontal lobe that led to subfalcial and transtentorial herniation.
The tumor was removed en bloc without excessive loss of CSF throughout the perioperative period.
Although the level of consciousness remained unchanged from the preoperative level and no new neurological deficit was detected, routine postoperative computed tomography showed a bilateral RCH.
Careful conservative therapy was provided and follow-up computed tomography demonstrated no further progression of hemorrhage.
Compensatory acute engorgement of venous sinuses derived from the rapid decrease in intracranial pressure that occurred due to removal of the huge tumor might have caused cerebellar hemorrhagic venous infarction.
American Psychological Association (APA)
Hara, Takuma& Matsuda, Masahide& Watanabe, Shinya& Nakai, Kei& Yamamoto, Tetsuya& Matsumura, Akira. 2013. Remote Cerebellar Hemorrhage after Removal of a Supratentorial Glioma without Perioperative CSF Loss : A Case Report. Case Reports in Surgery،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-461914
Modern Language Association (MLA)
Hara, Takuma…[et al.]. Remote Cerebellar Hemorrhage after Removal of a Supratentorial Glioma without Perioperative CSF Loss : A Case Report. Case Reports in Surgery No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-461914
American Medical Association (AMA)
Hara, Takuma& Matsuda, Masahide& Watanabe, Shinya& Nakai, Kei& Yamamoto, Tetsuya& Matsumura, Akira. Remote Cerebellar Hemorrhage after Removal of a Supratentorial Glioma without Perioperative CSF Loss : A Case Report. Case Reports in Surgery. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-461914
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-461914