Department of Neurosurgery, Fatouma Bourguiba Hospital, Monastir, Tunisia.
Pan Afr Med J. 2022 Jan 11;41:24. doi: 10.11604/pamj.2022.41.24.32799. eCollection 2022.
Remote intracranial hemorrhage is postoperative bleeding that occurs away from the surgical site. Remote cerebellar hemorrhage (RCH) is a cerebellar hemorrhage that may occur in 0.04-0.8% of cases after supratentorial and spinal procedures. We report a case of a 73-year-old male who developed signs of increased intracranial pressure two days after the evacuation of a subdural hematoma. Brain computed tomography showed RCH with the "zebra sign" and triventricular hydrocephalus that indicated the placement of external ventricle drain in emergency. Therefore, surgeons must pay special attention to this rare postoperative complication because it can be devastating in terms of patient outcome especially due to its possible complications requiring surgical treatment.
远程颅内出血是指发生在手术部位以外的术后出血。远程小脑出血(RCH)是一种小脑出血,在幕上和脊髓手术后可能发生在 0.04%-0.8%的病例中。我们报告了一例 73 岁男性的病例,他在硬膜下血肿清除术后两天出现颅内压增高的迹象。脑部计算机断层扫描显示 RCH 伴有“斑马征”和三脑室脑积水,提示紧急放置外部脑室引流。因此,外科医生必须特别注意这种罕见的术后并发症,因为它可能对患者的预后造成严重影响,特别是由于其可能需要手术治疗的并发症。