Cerebellar hemorrhage as a complication of temporal lobectomy for refractory medial temporal epilepsy: report of three cases.
Cerebellar hemorrhage is listed among the potential complications following neurosurgical procedures. In this scenario it is usually reported as a rare condition. However, it seems that epilepsy surgery patients are somewhat more prone to this kind of complication, compared to other surgical groups. Head positioning, excessive cerebral spinal fluid draining and the excision of non-expanding encephalic tissue (or combinations among the three) are likely to be cause underlying remote cerebellar hemorrhage. Out of the 118 ATL/AH performed at our institution, between 1996 and 2002, we identified 3 (2.5%) patients presenting with cerebellar hemorrhage. We report on such cases and review the literature on the topic.
Programa de Cirurgia de Epilepsia, Serviço de Neurologia, Hospital de Clínicas, Universidade Federal do Paraná, Curitíba, PR, Brasil.
Luciano
L
de Paola
André R
AR
Troiano
Francisco M B
FM
Germiniani
Patrícia
P
Coral
Marcus V
MV
Della Coletta
Carlos E S
CE
Silvado
Marlus
M
Moro
João Cândido
JC
de Araújo
Maria Joana
MJ
Mäder
Lineu C
LC
Werneck
D000328:Adult; D038481:Anterior Temporal Lobectomy; D002526:Cerebellar Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D004833:Epilepsy, Temporal Lobe / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D019106:Postoperative Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed