Vogels R L C, Verstegen M J T, van Furth W R
Department of Neurology, Sint Lucas-Andreas Hospital, Amsterdam, The Netherlands.
Acta Neurochir (Wien). 2006 Sep;148(9):993-6. doi: 10.1007/s00701-006-0800-y. Epub 2006 Jun 29.
Cerebellar haemorrhage is an unusual complication of supratentorial neurosurgery. Several causative pre-operative factors and medical risk factors may predispose patients to cerebellar haemorrhage, however its etiology remains still unclear. Only two case reports have previously described the occurrence of cerebellar haemorrhage after subdural haematoma evacuation by burr-hole trepanation. We present two patients with this rare postoperative complication of minor supratentorial neurosurgery and possible underlying pathophysiological mechanisms are discussed. Our two cases support the post- rather than per-operative pathogenetic hypothesis. Although the complication is associated with a significant morbidity and mortality, most cases follow a benign course.
小脑出血是幕上神经外科手术中一种罕见的并发症。术前有几种致病因素和医学风险因素可能使患者易患小脑出血，但其病因仍不明确。此前仅有两篇病例报告描述了经钻孔引流术清除硬膜下血肿后发生小脑出血的情况。我们报告了两例发生这种幕上小神经外科手术后罕见并发症的患者，并讨论了可能的潜在病理生理机制。我们的两例病例支持术后而非术中发病机制的假说。尽管该并发症与显著的发病率和死亡率相关，但大多数病例预后良好。
