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   You are here: Home ›› Current edition ›› Vol. XX, no. 1, 2013 ›› Danil Adam
Cerebellar hemorrhage after resection of frontal meningioma. Case report
Danil Adam1, Ioana Hornea2, Raisa Croitoru2
1Carol Davila University of Medicine and Pharmacy Bucharest
2“Sf. Pantelimon” Emergency Clinical Hospital, Bucharest
Key words: craniotomy, cerebellar hemorrhage, intracranial hypotension

Introduction: Remote cerebellar hemorrhage is an infrequent complication, potentially harmful with an unclear etiologic mechanism. There may be incriminated multiple risk factors: arterial hypertension, use of antiplatelet medication (Aspenter), CSF aspiration or drainage associated with intracranial hypotension. Material and methods: We present a 69 year old woman with remote intracerebral hemorrhage that occurred after frontal parasagittal meningioma resection. Results: An inadequate oral hydration was responsible for decreased level of consciousness, cerebellar and parietal-occipital cortical-sub-cortical contra-lateral hemorrhages. Close monitoring of water balance and adequate hydration is related to clinical improvement and resolution of brain imaging. Conclusion: Retraction of the brain due to intracranial hypotension led to some small vessels rupture and development of remote cerebellar hemorrhage.