Title of article :
Extensive Supratentorial Hemorrhages Following Posterior Fossa Meningioma Surgery
Author/Authors :
Agrawal, Amit Datta Meghe Institute of Medical Sciences - Department of Neurosurgery, India , Kakani, Anand Datta Meghe Institute of Medical Sciences - Department of Neurosurgery, India , Ray, Kaushik Datta Meghe Institute of Medical Sciences - Department of Surgery, India
Abstract :
Remote supratentorial hematoma soon after posterior fossa surgery for the removal of a space-occupying lesion is a rare but dramatic and dreaded complication, carrying significant morbidity and mortality. A 47-year-old woman presented with headache of 1-year duration that worsened over last 2 months, progressive ataxia of 2 months’ duration, blurring and diminution of vision of 2 months’ duration and forgetfulness of 2 months’ duration. Fundus showed bilateral papille dema, and visual acuity was 6/9 in both eyes. She had left-sided cerebellar signs. Therewere no focal motor or sensory neurological deficits. MRI brain with contrast showed a large posterior fossa tumor with obstructive hydrocephalus. The patient underwent left paramedian suboccipital craniectomy in prone position with left side up. In the immediate postoperative period, the patient did no recover from anesthesia and was persistently drowsy. Immediate repeat CT scan showed diffuse subarachnoid hemorrhage spread all over the bilateral cerebral hemispheres with diffuse cerebral edema. The patient recovered with conservative management without deficits. This case stresses the importance of early postoperative CT scan and optimal management of the hemorrhage for good outcome.
Keywords :
Meningioma , posterior fossa surgery , supra , tentorial hemorrhage
Journal title :
Journal of Surgical Technique and Case Report
Journal title :
Journal of Surgical Technique and Case Report