[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.
Service de Neurochirurgie, Centre Universitaire de Santé de l'Estrie, Faculté de Médecine, Université de Sherbrooke, Canada.
H
H
McLelland
P
P
Couillard
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