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Extensive Supratentorial Hemorrhages Following Posterior Fossa Meningioma Surgery
Remote supratentorial hematoma soon after posterior fossa surgery for the removal of a space-occupying lesion is a rare but dramatic and dreaded complication, carrying significant morbidity and mortality. A 47-year-old woman presented with headache of 1-year duration that worsened over last 2 months...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3214287/ https://www.ncbi.nlm.nih.gov/pubmed/22091344 http://dx.doi.org/10.4103/2006-8808.73624 |
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author | Agrawal, Amit Kakani, Anand Ray, Kaushik |
author_facet | Agrawal, Amit Kakani, Anand Ray, Kaushik |
author_sort | Agrawal, Amit |
collection | PubMed |
description | Remote supratentorial hematoma soon after posterior fossa surgery for the removal of a space-occupying lesion is a rare but dramatic and dreaded complication, carrying significant morbidity and mortality. A 47-year-old woman presented with headache of 1-year duration that worsened over last 2 months, progressive ataxia of 2 months’ duration, blurring and diminution of vision of 2 months’ duration and forgetfulness of 2 months’ duration. Fundus showed bilateral papille dema, and visual acuity was 6/9 in both eyes. She had left-sided cerebellar signs. There were no focal motor or sensory neurological deficits. MRI brain with contrast showed a large posterior fossa tumor with obstructive hydrocephalus. The patient underwent left paramedian suboccipital craniectomy in prone position with left side up. In the immediate postoperative period, the patient did no recover from anesthesia and was persistently drowsy. Immediate repeat CT scan showed diffuse subarachnoid hemorrhage spread all over the bilateral cerebral hemispheres with diffuse cerebral edema. The patient recovered with conservative management without deficits. This case stresses the importance of early postoperative CT scan and optimal management of the hemorrhage for good outcome. |
format | Online Article Text |
id | pubmed-3214287 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-32142872011-11-16 Extensive Supratentorial Hemorrhages Following Posterior Fossa Meningioma Surgery Agrawal, Amit Kakani, Anand Ray, Kaushik J Surg Tech Case Rep Case Report Remote supratentorial hematoma soon after posterior fossa surgery for the removal of a space-occupying lesion is a rare but dramatic and dreaded complication, carrying significant morbidity and mortality. A 47-year-old woman presented with headache of 1-year duration that worsened over last 2 months, progressive ataxia of 2 months’ duration, blurring and diminution of vision of 2 months’ duration and forgetfulness of 2 months’ duration. Fundus showed bilateral papille dema, and visual acuity was 6/9 in both eyes. She had left-sided cerebellar signs. There were no focal motor or sensory neurological deficits. MRI brain with contrast showed a large posterior fossa tumor with obstructive hydrocephalus. The patient underwent left paramedian suboccipital craniectomy in prone position with left side up. In the immediate postoperative period, the patient did no recover from anesthesia and was persistently drowsy. Immediate repeat CT scan showed diffuse subarachnoid hemorrhage spread all over the bilateral cerebral hemispheres with diffuse cerebral edema. The patient recovered with conservative management without deficits. This case stresses the importance of early postoperative CT scan and optimal management of the hemorrhage for good outcome. Medknow Publications 2010 /pmc/articles/PMC3214287/ /pubmed/22091344 http://dx.doi.org/10.4103/2006-8808.73624 Text en © Journal of Surgical Technique and Case Report http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Agrawal, Amit Kakani, Anand Ray, Kaushik Extensive Supratentorial Hemorrhages Following Posterior Fossa Meningioma Surgery |
title | Extensive Supratentorial Hemorrhages Following Posterior Fossa Meningioma Surgery |
title_full | Extensive Supratentorial Hemorrhages Following Posterior Fossa Meningioma Surgery |
title_fullStr | Extensive Supratentorial Hemorrhages Following Posterior Fossa Meningioma Surgery |
title_full_unstemmed | Extensive Supratentorial Hemorrhages Following Posterior Fossa Meningioma Surgery |
title_short | Extensive Supratentorial Hemorrhages Following Posterior Fossa Meningioma Surgery |
title_sort | extensive supratentorial hemorrhages following posterior fossa meningioma surgery |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3214287/ https://www.ncbi.nlm.nih.gov/pubmed/22091344 http://dx.doi.org/10.4103/2006-8808.73624 |
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