[Postoperative hematoma distant from the surgical site. A case report and review of the literature].
Significant post-operative hemorrhage is a rare complication of intracranial surgery. Hemorrhage remote from the site of neurosurgical intervention is rare, with only 37 cases reported in the literature. We present the case of a 62 year old woman who presented a right occipital hematoma following excision of a large left sphenoidal meningioma. The hematoma was treated conservatively without neurological sequellae. We present a review of the literature concerning this rare phenomenon, and discuss the question of mechanical distorsion of intracranial structures with focal ischemia followed by reperfusion as the underlying pathophysiology.
McLelland
H
H
Service de Neurochirurgie, Centre Universitaire de Santé de l'Estrie, Faculté de Médecine, Université de Sherbrooke, Canada.
Couillard
P
P
D002543:Cerebral Hemorrhage / Q000209:etiology* / Q000473:pathology; D005260:Female; D006406:Hematoma / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D019635:Neurosurgical Procedures; D011183:Postoperative Complications