Remote Supratentorial Hemorrhage following Supratentorial Craniotomy: A Case Report

  • Yamakawa Kota
    Department of Neurosurgery, Tokyo Metropolitan Health and Medical Treatment Corporation Ebara Hospital
  • Mochizuki Yubuhito
    Department of Neurosurgery, Tokyo Metropolitan Health and Medical Treatment Corporation Ebara Hospital
  • Nakamura Yoshinori
    Department of Neurosurgery, Tokyo Metropolitan Health and Medical Treatment Corporation Ebara Hospital
  • Tokunaga Hitoshi
    Department of Neurosurgery, Tokyo Metropolitan Health and Medical Treatment Corporation Ebara Hospital
  • Yoshida Yoichi
    Department of Neurosurgery, Tokyo Metropolitan Health and Medical Treatment Corporation Ebara Hospital
  • Doi Hiroshi
    Department of Neurosurgery, Tokyo Metropolitan Health and Medical Treatment Corporation Ebara Hospital

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抄録

Intracranial hemorrhage (ICH) in regions remote from the initial intracranial operation site is rare. The mechanism of ICH following cranial surgery remains unclear, although several theories have been proposed. Most of the reports describe cerebellar hemorrhages after supratentorial procedures or supratentorial hemorrhages after infratentorial procedures. Remote supratentorial hemorrhage (RSH) following supratentorial surgery is extremely rare. We report a case of postoperative RSH occurring away from the surgical site. A 62-year-old woman underwent a right occipital lobectomy to resect lung carcinoma metastases. The patient developed a postoperative consciousness disturbance, and a brain computed tomography (CT) scan revealed an ICH in the left frontal region. The patient underwent ICH evacuation, but remained severely disabled. It is necessary to be aware that this complication is possible after craniotomy.

収録刊行物

  • NMC Case Report Journal

    NMC Case Report Journal 3 (1), 13-15, 2016

    一般社団法人 日本脳神経外科学会

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