title: [Bilateral cerebellar hematoma after supratentorial glioma surgery].
abstract: We present a case of bilateral hematoma in cerebellar hemispheres in a 30-year-old man after surgical treatment of extensive left frontal glioma. 16 hours after surgery the patient lost consciousness. An immediate CT revealed hematoma in both cerebellar hemispheres. The hematoma was subsequently removed via bilateral suboccipital craniectomy. After the operation the clinical status of the patient gradually improved - he was discharged in a good general condition. In the presented case the hematoma developed presumably as a consequence of extensive cerebrospinal fluid (CSF) loss (670 ml) via postoperative wound drainage. The resulting cerebellar displacement caused strain of the draining veins, affecting blood outflow, and causing parenchymal hemorrhage. In order to prevent the complication, massive CSF loss during and after operation should be avoided. Careful monitoring of the patient's condition in the postoperative period, even if the general status is good, is important because only an immediate intervention may prevent the development of irreversible consequences of cerebellar hematoma formation.
authors.affiliation: Klinika Neurochirurgii, Collegium Medicum, Uniwersytet Jagielloński, ul. Botaniczna 3, 31-503 Kraków. rczepko@poczta.onet.pl
authors.forename: Ryszard
authors.initials: R
authors.lastname: Czepko
authors.forename: Borys
authors.initials: B
authors.lastname: Kwinta
authors.forename: Henryka
authors.initials: H
authors.lastname: Uhl
authors.forename: Andrzej
authors.initials: A
authors.lastname: Urbanik
authors.forename: Witold
authors.initials: W
authors.lastname: Libionka
authors.forename: Wojciech
authors.initials: W
authors.lastname: Pietraszko
mesh_terms: D000328:Adult; D002526:Cerebellar Diseases / Q000209:etiology* / Q000601:surgery; D002543:Cerebral Hemorrhage / Q000209:etiology* / Q000601:surgery; D003399:Craniotomy / Q000009:adverse effects; D005625:Frontal Lobe / Q000601:surgery; D005910:Glioma / Q000601:surgery*; D006406:Hematoma / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D015173:Supratentorial Neoplasms / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome