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2006
Remote Cerebellar Hemorrhage after Supratentorial Aneurysmal Surgery : Report of Six Cases
Remote Cerebellar Hemorrhage after Supratentorial Aneurysmal Surgery : Report of Six Cases
대한신경외과학회
장재원, 주성필 외 2명
논문정보
- Publisher
- 대한신경외과학회지
- Issue Date
- 2006-05-01
- Keywords
- -
- Citation
- -
- Source
- -
- Journal Title
- -
- Volume
- 39
- Number
- 5
- Start Page
- 370
- End Page
- 373
- DOI
- ISSN
- 12258245
Abstract
The case of postoperative hemorrhage occurring apart from the operative site as a complication of intracranial surgery
is a rare malady, especially when it involves the cerebellum after supratentorial aneurysm surgery. In a review of the
literature, the possible etiologies for cerebellar hemorrhage are: coagulopathy, intraoperative urokinase irrigation, excessive
head rotation on positioning, brain shift due to excessive cerebrospinal fluid(CSF) and epidural hemovac drainage.
We experienced six cases of cerebellar hemorrhage after supratentorial aneurysm surgery, and all of the patients
were improved by instituting conservative medical treatment. The possible mechanism for the remote cerebellar
hemorrhages seen in our series is probably a multifactorial effect, such as excessive epidural hemovac and CSF drainage,
and jugular venous compression due to the operative position. The purpose of this report is to alert neurosurgeons
to the existence of this syndrome and to suggest several ways of minimizing the possibility of their patients developing
remote cerebellar hemorrhage.
KEY WORDS : Remote cerebellar hemorrhage·Supratentorial aneurysm surgery.
- 전남대학교
- KCI
- 대한신경외과학회지
저자 정보
| 이름 | 소속 |
|---|---|
| 장재원 | 의학과 |
| 주성필 | 의학과 |