Abstract
Post-operative intracranial bleeding at a distance from the surgical site is a rare complication of both cranial and spinal surgeries and is referred to as remote intracranial hemorrhage (RIH). Bleeding typically occurs in the cerebellum. Simultaneous hemorrhages in different cranial compartments have been rarely observed. We herein report two cases of RIH, which showed different imaging patterns and clinical signs and symptoms. RIH are typically self-limiting and do not usually require treatment. Physicians must be aware of this benign entity which needs not be misdiagnosed with other conditions.Teaching point: Remote intracranial hemorrhage is a rare but worthy of note complication of cranio-spinal surgery.
Highlights
Post-operative intracranial bleeding occurring at a d istance from the surgical site is a rare complication of both supraand infra-tentorial craniotomies as well as spinal surg eries and is referred to as remote intracranial hemorrhage (RIH)
Combination of intra- and extra-parenchymal hemorrhages in both supra- and infra-tentorial compartments is exceedingly rare as only a few cases have been reported [3,4,5,6,7,8,9]
Case 1 is a classic presentation of remote cerebellar hemorrhage complicating a supratentorial craniotomy
Summary
Post-operative intracranial bleeding at a distance from the surgical site is a rare complication of both cranial and spinal surgeries and is referred to as remote intracranial hemorrhage (RIH). Simultaneous hemorrhages in different cranial compartments have been rarely observed. We report two cases of RIH, which showed different imaging patterns and clinical signs and symptoms. RIH are typically self-limiting and do not usually require treatment. Physicians must be aware of this benign entity which needs not be misdiagnosed with other conditions. Teaching point: Remote intracranial hemorrhage is a rare but worthy of note complication of craniospinal surgery
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