Posterior fossa hemorrhage after supratentorial surgery

Harry J. Cloft, Julie A. Matsumoto, Giuseppi Lanzino, Wayne S. Cail

Research output: Contribution to journalArticle

38 Scopus citations

Abstract

PURPOSE: To evaluate the imaging findings, possible pathogenesis, and frequency of hemorrhage near the tentorial surface of the cerebellum after supratentorial surgery. METHODS: Over a 5-year period, 13 patients with posterior fossa hemorrhage after supratentorial surgery were identified with postoperative CT studies, which were obtained in all patients after craniotomy. Four of the 13 patients also had postoperative MR examinations. Preoperative and postoperative radiologic studies and medical records were reviewed. RESULTS: All hemorrhages were located along the superior aspect of the cerebellum, transversely oriented along the cerebellar folia and fissures. None of the patients had coagulopathy or radiologic evidence of posterior fossa tumor or vascular malformation. None of the hemorrhages had an appearance typical of hypertensive hemorrhage. Ten patients (77%) had lumbar drains placed before surgery and all had epidural drains placed at the conclusion of surgery. One patient had surgery for a meningioma, and 12 had surgery for aneurysms. The frequency of hemorrhage after aneurysmal surgery was 3.5%. No neurologic deficits developed referable to the cerebellum. CONCLUSION: Hemorrhage should be viewed as a potentially benign sequela of surgery rather than as an indication of hypertension, aneurysm, or previously unrecognized vascular malformation or neoplasm.

Original languageEnglish (US)
Pages (from-to)1573-1580
Number of pages8
JournalAmerican Journal of Neuroradiology
Volume18
Issue number8
StatePublished - Sep 1 1997

Keywords

  • Brain, surgery
  • Cerebral hemorrhage
  • Latrogenic disease or disorder

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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    Cloft, H. J., Matsumoto, J. A., Lanzino, G., & Cail, W. S. (1997). Posterior fossa hemorrhage after supratentorial surgery. American Journal of Neuroradiology, 18(8), 1573-1580.