link
Bookmarks
Remote Cerebellar Hemorrhage
Karen L. Salzman, MD; Bronwyn E. Hamilton, MD
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe
0
5
4
0

KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Remote cerebellar hemorrhage (RCH)
            • Definitions

              • Cerebellar hemorrhage following CNS surgery, typically supratentorial
                • Remote to primary surgical site
                • No underlying pathologic lesion
                • CSF drainage → cerebellar "sagging" → vein stretching, bleeding
              • Less commonly may occur after spinal surgery
              • Smaller subset of patients with supratentorial hemorrhage
                • Following infratentorial (remote) surgery

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Angiographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Mallio CA et al: Bilateral remote cerebellar haemorrhage after spinal surgery: a case study and review of the literature. Brain Inj. 28(9):1216-22, 2014
                                          2. Smith R et al: Remote cerebellar hemorrhage following supratentorial cerebrovascular surgery. J Clin Neurosci. 21(4):673-6, 2014
                                          3. Borkar SA et al: Remote site intracranial haemorrhage: a clinical series of five patients with review of literature. Br J Neurosurg. 27(6):735-8, 2013
                                          4. Thangasamy SJ et al: Remote cerebellar hemorrhage as an unusual complication of supratentorial surgery. A case report and literature review. Neuroradiol J. 24(5):779-82, 2011
                                          5. Huang CY et al: Remote cerebellar hemorrhage after supratentorial unruptured aneurysm surgery: report of three cases. Neurol Res. 32(6):670-2, 2010
                                          6. Figueiredo EG et al: Remote cerebellar hemorrhage (zebra sign) in vascular neurosurgery: pathophysiological insights. Neurol Med Chir (Tokyo). 49(6):229-33; discussion 233-4, 2009
                                          7. Kelley GR et al: Sinking brain syndrome: craniotomy can precipitate brainstem herniation in CSF hypovolemia. Neurology. 62(1):157, 2004
                                          8. Bloch J et al: Brain stem and cerebellar dysfunction after lumbar spinal fluid drainage: case report. J Neurol Neurosurg Psychiatry. 74(7):992-4, 2003
                                          9. Friedman JA et al: Cerebellar hemorrhage after spinal surgery: report of two cases and literature review. Neurosurgery. 50(6):1361-3; discussion 1363-4, 2002
                                          10. Honegger J et al: Cerebellar hemorrhage arising postoperatively as a complication of supratentorial surgery: a retrospective study. J Neurosurg. 96(2):248-54, 2002
                                          11. Marquardt G et al: Cerebellar hemorrhage after supratentorial craniotomy. Surg Neurol. 57(4):241-51; discussion 251-2, 2002
                                          12. Friedman JA et al: Remote cerebellar hemorrhage after supratentorial surgery. Neurosurgery. 49(6):1327-40, 2001
                                          13. Seoane E et al: Compression of the internal jugular vein by the transverse process of the atlas as the cause of cerebellar hemorrhage after supratentorial craniotomy. Surg Neurol. 51(5):500-5, 1999
                                          14. Cloft HJ et al: Posterior fossa hemorrhage after supratentorial surgery. AJNR Am J Neuroradiol. 18(8):1573-80, 1997
                                          15. Brisman MH et al: Intracerebral hemorrhage occurring remote from the craniotomy site. Neurosurgery. 39(6):1114-21; discussion 1121-2, 1996
                                          16. Toczek MT et al: Cerebellar hemorrhage complicating temporal lobectomy. Report of four cases. J Neurosurg. 85(4):718-22, 1996
                                          17. Waga S et al: Intracerebral hemorrhage remote from the site of the initial neurosurgical procedure. Neurosurgery. 13(6):662-5, 1983
                                          18. Haines SJ et al: Supratentorial intracerebral hemorrhage following posterior fossa surgery. J Neurosurg. 49(6):881-6, 1978
                                          Related Anatomy
                                          Loading...
                                          Related Differential Diagnoses
                                          Loading...
                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    TERMINOLOGY

                                                    • Abbreviations

                                                      • Remote cerebellar hemorrhage (RCH)
                                                    • Definitions

                                                      • Cerebellar hemorrhage following CNS surgery, typically supratentorial
                                                        • Remote to primary surgical site
                                                        • No underlying pathologic lesion
                                                        • CSF drainage → cerebellar "sagging" → vein stretching, bleeding
                                                      • Less commonly may occur after spinal surgery
                                                      • Smaller subset of patients with supratentorial hemorrhage
                                                        • Following infratentorial (remote) surgery

                                                    IMAGING

                                                    • General Features

                                                      • CT Findings

                                                        • MR Findings

                                                          • Angiographic Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Mallio CA et al: Bilateral remote cerebellar haemorrhage after spinal surgery: a case study and review of the literature. Brain Inj. 28(9):1216-22, 2014
                                                                                  2. Smith R et al: Remote cerebellar hemorrhage following supratentorial cerebrovascular surgery. J Clin Neurosci. 21(4):673-6, 2014
                                                                                  3. Borkar SA et al: Remote site intracranial haemorrhage: a clinical series of five patients with review of literature. Br J Neurosurg. 27(6):735-8, 2013
                                                                                  4. Thangasamy SJ et al: Remote cerebellar hemorrhage as an unusual complication of supratentorial surgery. A case report and literature review. Neuroradiol J. 24(5):779-82, 2011
                                                                                  5. Huang CY et al: Remote cerebellar hemorrhage after supratentorial unruptured aneurysm surgery: report of three cases. Neurol Res. 32(6):670-2, 2010
                                                                                  6. Figueiredo EG et al: Remote cerebellar hemorrhage (zebra sign) in vascular neurosurgery: pathophysiological insights. Neurol Med Chir (Tokyo). 49(6):229-33; discussion 233-4, 2009
                                                                                  7. Kelley GR et al: Sinking brain syndrome: craniotomy can precipitate brainstem herniation in CSF hypovolemia. Neurology. 62(1):157, 2004
                                                                                  8. Bloch J et al: Brain stem and cerebellar dysfunction after lumbar spinal fluid drainage: case report. J Neurol Neurosurg Psychiatry. 74(7):992-4, 2003
                                                                                  9. Friedman JA et al: Cerebellar hemorrhage after spinal surgery: report of two cases and literature review. Neurosurgery. 50(6):1361-3; discussion 1363-4, 2002
                                                                                  10. Honegger J et al: Cerebellar hemorrhage arising postoperatively as a complication of supratentorial surgery: a retrospective study. J Neurosurg. 96(2):248-54, 2002
                                                                                  11. Marquardt G et al: Cerebellar hemorrhage after supratentorial craniotomy. Surg Neurol. 57(4):241-51; discussion 251-2, 2002
                                                                                  12. Friedman JA et al: Remote cerebellar hemorrhage after supratentorial surgery. Neurosurgery. 49(6):1327-40, 2001
                                                                                  13. Seoane E et al: Compression of the internal jugular vein by the transverse process of the atlas as the cause of cerebellar hemorrhage after supratentorial craniotomy. Surg Neurol. 51(5):500-5, 1999
                                                                                  14. Cloft HJ et al: Posterior fossa hemorrhage after supratentorial surgery. AJNR Am J Neuroradiol. 18(8):1573-80, 1997
                                                                                  15. Brisman MH et al: Intracerebral hemorrhage occurring remote from the craniotomy site. Neurosurgery. 39(6):1114-21; discussion 1121-2, 1996
                                                                                  16. Toczek MT et al: Cerebellar hemorrhage complicating temporal lobectomy. Report of four cases. J Neurosurg. 85(4):718-22, 1996
                                                                                  17. Waga S et al: Intracerebral hemorrhage remote from the site of the initial neurosurgical procedure. Neurosurgery. 13(6):662-5, 1983
                                                                                  18. Haines SJ et al: Supratentorial intracerebral hemorrhage following posterior fossa surgery. J Neurosurg. 49(6):881-6, 1978