Remote Cerebellar Haemorrhage Occurring after Transcranial Pituitary Surgery
Published: August 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/29152.10465
Numan Karaarslan, Mehmet Sabri Gürbüz, Tezcan Caliskan, Tamer Tunckale
1. Assistant Professor, Department of Neurosurgery, Namik Kemal University, Medical Faculty, Tekirdag, Turkey.
2. Specialist Neurosurgeon, Department of Neurosurgery, Elazig Training and Research Hospital, Elazig, Turkey.
3. Assistant Professor, Department of Neurosurgery, Namik Kemal University, Medical Faculty, Tekirdag, Turkey.
4. Assistant Professor, Department of Neurosurgery, Namik Kemal University, Medical Faculty, Tekirdag, Turkey.
Correspondence
Dr. Mehmet Sabri Gürbüz,
Çamik Mah. Selçuklu Cad. No.22 Pendik/Istanbul-34912, Turkey.
E-mail: mehmetsabrigurbuz@gmail.com
Post supratentorial and spinal surgeries, in rare cases, Remote Cerebellar Haemorrhage (RCH) develops as a complication. Although the exact aetiology of RCH remains uncertain, excessive drainage of the Cerebrospinal Fluid (CSF) is accepted as the most possible cause. It has been suggested that overdrainage of CSF leads to stretching and resultantly tearing of the cerebellar veins. Early diagnosis and appropriate management decrease mortality and morbidity significantly. In this report, we present a case of RCH encountered on the third postoperative day of transcranial pituitary surgery and discuss the possible causative factors. Excessive loss of CSF is considered to be the major cause of RCH. To our knowledge this is the first case of RCH seen after transcranial macroadenoma surgery reported in the literature so far.
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