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CC BY-NC-ND 4.0 · Asian J Neurosurg 2023; 18(02): 387-390
DOI: 10.1055/s-0043-1768602
Case Report

Supratentorial Intracerebral Hematoma as a Rare Complication of Posterior Fossa Surgery in Prone Position: A Case Report with Review of Literature

Hanuman Prasad Prajapati
1   Department of Neurosurgery, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India
,
Raj Kumar
2   Department of Neurosurgery, SGPGI, Lucknow, Uttar Pradesh, India
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Abstract

Supratentorial intracerebral hematoma is a rare complication after posterior fossa tumor surgery in prone positioning. Although rare, its occurrence may cause significant impact on survival of the patient. We had described this rare complication and their possible pathophysiology in this report. A 52-year-old male with fourth ventricle epidermoid tumor with noncommunicative hydrocephalus was presented to us in drowsy condition in emergency department. Right-sided medium pressure ventriculoperitoneal surgery was performed in emergency. After shunt surgery patient become conscious and oriented. Total excision of tumor was done via suboccipital craniotomy in prone positioning after preanesthesia fitness. Patient extubated from anesthesia and was conscious but after 2 hours patient condition deteriorated. Patient was intubated again and taken on ventilatory support. Postoperative plain computed tomography brain showed total excision of tumor with left temporal lobe hematoma. Patient was managed conservatively and his condition improved in 3 weeks' periods. Supratentorial intracerebral hematoma after posterior fossa surgery in prone positioning is a rare complication. Despite the rarity of this complication, it is still challenging as it may lead to significant morbidity and mortality.

Keywords

supratentorial - intracerebral hematoma - posterior fossa - complication - prone position


Publication History

Article published online:
07 June 2023

© 2023. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Agrawal A, Kakani A, Ray K. Extensive supratentorial hemorrhages following posterior fossa meningioma surgery. J Surg Tech Case Rep 2010; 2 (02) 87-89
    CrossrefPubMedGoogle Scholar
  • 2 Haines SJ, Maroon JC, Jannetta PJ. Supratentorial intracerebral hemorrhage following posterior fossa surgery. J Neurosurg 1978; 49 (06) 881-886
    CrossrefPubMedGoogle Scholar
  • 3 Tondon A, Mahapatra AK. Superatentorial intracerebral hemorrhage following infratentorial surgery. J Clin Neurosci 2004; 11 (07) 762-765
    CrossrefPubMedGoogle Scholar
  • 4 de Albuquerque LAF, Dourado JC, Almeida JP, Costa BS. Multiple supratentorial intraparenchymal hemorrhage after posterior fossa surgery. Surg Neurol Int 2015; 6 (Suppl. 02) S104-S109
    CrossrefPubMedGoogle Scholar
  • 5 Bucciero A, Quaglietta P, Vizioli L. Supratentorial intracerebral hemorrhage after posterior fossa surgery. Case report. J Neurosurg Sci 1991; 35 (04) 221-224
    PubMedGoogle Scholar
  • 6 Harders A, Gilsbach J, Weigel K. Supratentorial space occupying lesions following infratentorial surgery early diagnosis and treatment. Acta Neurochir (Wien) 1985; 74 (1-2): 57-60
    CrossrefPubMedGoogle Scholar
  • 7 Hawryluk GWJ, Rubiano AM, Totten AM. et al. Guidelines for the management of severe traumatic brain injury: 2020 update of the decompressive craniectomy recommendations. Neurosurgery 2020; 87 (03) 427-434
    CrossrefPubMedGoogle Scholar
  • 8 Kalkan E, Eser O. Supratentorial intracerebral haemorrhage following posterior fossa operation. Neurol India 2006; 54 (02) 220-221
    PubMedGoogle Scholar
  • 9 Cartier-Giroux J, Mohr G, Sautreaux JL. [Supratentorial hemorrhage of hypertensive origin during operation: an unusual complication of surgery on the posterior fossa in the sitting position (author's transl)]. Neurochirurgie 1980; 26 (04) 291-294
    PubMedGoogle Scholar
  • 10 Vrettou CS, Stavrinou LC, Halikias S. et al. Factor XIII deficiency as a potential cause of supratentorial haemorrhage after posterior fossa surgery. Acta Neurochir (Wien) 2010; 152 (03) 529-532
    CrossrefPubMedGoogle Scholar
  • 11 Seiler RW, Zurbrügg HR. Supratentorial intracerebral hemorrhage after posterior fossa operation. Neurosurgery 1986; 18 (04) 472-474
    CrossrefPubMedGoogle Scholar
  • 12 Standefer M, Bay JW, Trusso R. The sitting position in neurosurgery: a retrospective analysis of 488 cases. Neurosurgery 1984; 14 (06) 649-658
    CrossrefPubMedGoogle Scholar
  • 13 Salunke P, Malik V, Kovai P, Aggarwal A, Khandelwal NK. Delayed supratentorial intracerebral hemorrhage following posterior fossa surgery. Asian J Neurosurg 2016; 11 (03) 315
    Article in Thieme ConnectPubMedGoogle Scholar
  • 14 Pandey P, Madhugiri VS, Sattur MG, Devi B I. Remote supratentorial extradural hematoma following posterior fossa surgery. Childs Nerv Syst 2008; 24 (07) 851-854
    CrossrefPubMedGoogle Scholar