title: Fatal remote cerebellar hemorrhage after supratentorial unruptured aneurysm surgery in patient with previous cerebellar infarction: A case report.
abstract: BACKGROUND
  Remote cerebellar hemorrhage (RCH) is a rare complication of supratentorial and spinal surgeries, seldom requiring intervention but occasionally causing significant morbidity or even mortality. Although a number of theories have been proposed, the exact pathophysiology of RCH remains incompletely understood.
  
  
  METHODS
  We present a 62-year-old patient with RCH encountered following surgical clipping of an unruptured middle cerebral artery bifurcation aneurysm in a patient with previous cerebellar infarction.
  
  
  CONCLUSIONS
  It is extremely rare, but sometimes, RCH can be life-threatening. It is necessary to check the patient's general condition, underlying diseases and medical history. And controlled drainage of the CSF seems to be most important. Arachnoidplasty may be a consideration and the position of the drain string might have to be carefully determined.
authors.affiliation: Departments of Neurosurgery and Research Institute of Clinical Medicine, Chonbuk National University, Biomedical Research Institute of Chonbuk National University Hospital, Deokjin-gu, Jeonju, Korea.
authors.forename: Eun-Jeong
authors.initials: EJ
authors.lastname: Koh
authors.forename: Jung-Soo
authors.initials: JS
authors.lastname: Park
mesh_terms: D002526:Cerebellar Diseases / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D020300:Intracranial Hemorrhages / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*