Remote Cerebellar Haemorrhage after Surgery for Craniopharyngioma: a case report

  • Suresh Bishokarma National Institute of Neurological and Allied Sciences, Bansbari
  • Shikher Shrestha FCPS (Neurosurgery) National Institute of Neurological and Allied Sciences Bansbari
  • Upendra Prasad Devkota National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu
Keywords: Craniopharyngioma, Remote cerebellar haemorrhage, CSF drainage, Cerebellar sagging, Zebra sign

Abstract

Postoperative remote cerebellar haemorrhage occurring distant to the operated site as its name suggests is a rare though recognized entity in neurosurgical practice. It can be potentially devastating. Over 100 cases have been described in various literatures over the years. It is postulated to be due to CSF over drainage, has been the most popular theory behind its occurrence. We report a patient who underwent pterional craniotomy for craniopharyngioma, who deteriorated 12 hours following awakening after the surgery, the cause being remote cerebellar haemorrhage.

Nepal Journal of Neuroscience, Volume 15, Number 2, 2018, Page: 45-48

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Author Biographies

Suresh Bishokarma, National Institute of Neurological and Allied Sciences, Bansbari

MS, Mch

Upendra Prasad Devkota, National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu
FRCS (Neurosurgery). Chief Neurosurgeon
Published
2018-09-04
How to Cite
Bishokarma, S., Shrestha, S., & Devkota, U. (2018). Remote Cerebellar Haemorrhage after Surgery for Craniopharyngioma: a case report. Nepal Journal of Neuroscience, 15(2), 45-48. https://doi.org/10.3126/njn.v15i2.20995
Section
Case Report