SynthesisNeurosurgical review2016
Remote cerebellar hemorrhage after supratentorial procedures (part 1): a systematic review.
Synthesis in Neurosurgical review, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 38 citations in OpenAlex.
- A case presenting with retro-orbital pain during endoscopic burr-hole surgery for organized chronic subdural hematoma.Surgical neurology international · 2026Article
- A review of MRI signal changes of cerebellar disorders in adults.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025Review
- Article
- Non-hemorrhagic cerebellar contrast enhancement on intraoperative MRI during a supratentorial glioma resection: Concerning finding of no significance.Radiology case reports · 2024Article
- Remote cerebellar hemorrhage following repeated lumbar punctures.BMC neurology · 2023Article
- Article
- Avoidance of Pitfalls and Complications During Surgery for Temporal Lobe Epilepsy.Acta neurochirurgica. Supplement · 2023Article
- Remote cerebellar hemorrhage after a neurosurgical procedure: A report of three cases.Journal of cerebrovascular and endovascular neurosurgery · 2022Article
- Article
- Remote cerebellar hemorrhage after supratentorial craniotomy: illustrative cases.Journal of neurosurgery. Case lessons · 2022Article
- Remote cerebellar hemorrhage after the evacuation of a subdural hematoma: a case report.The Pan African medical journal · 2022Article
- Hyperperfusion and intracranial hemorrhage after burr hole surgery of chronic subdural hematoma.Surgical neurology international · 2021Article
- Article
- Single and simultaneous multiple intracerebral hemorrhages: a radiological review.Acta neurologica Belgica · 2020Review
- Risk factors of postoperative remote intracerebral hemorrhage after craniotomy for ruptured cerebral aneurysms.Journal of cerebrovascular and endovascular neurosurgery · 2020Article
- Remote cerebellar hemorrhage as a complication of lumbar spine surgery.Journal of radiology case reports · 2020Article
- Remote cerebellar hemorrhage: A case report.Radiology case reports · 2019Article
- Remote Hemorrhage after Burr Hole Drainage of Chronic Subdural Hematoma.Korean journal of neurotrauma · 2017Article
- Article
- Remote cerebellar haemorrhage: A case report.The Indian journal of radiology & imagingArticle
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A remote cerebellar hemorrhage (RCH) is a spontaneous bleeding in the posterior fossa, which may rarely occurs as a complication of supratentorial procedures, and it shows a typical bleeding pattern defined "the zebra sign." However, its pathophysiology still remains unknown. We performed a comprehensive review collecting all cases of RCH after supratentorial craniotomies reported in literature in order to identify the most frequently associated procedures and the possible risk factors. We assessed percentages of incidence and 95 % confidence intervals of all demographic, neuroradiological, and clinical features of the patients. Univariate and multivariate analyses were used to evaluate their association with outcome. We included 49 articles reporting 209 patients with a mean age of 49.09 ± 17.07 years and a male/female ratio 130/77. A RCH was more frequently reported as a complication of supratentorial craniotomies for intracranial aneurysms, tumors debulking, and lobectomies. In the majority of cases, RCH occurrence was associated with impairment of consciousness, although some patients remained asymptomatic or showed only slight cerebellar signs. Coagulation disorders, perioperative cerebrospinal fluid drainage, hypertension, and seizures were the most frequently reported risk factors. Zebra sign was the most common bleeding pattern, being observed in about 65 % out of the cases, followed by parenchymal hematoma and mixed hemorrhage in similar percentages. A multivariate analysis showed that symptomatic onset and intake of antiplatelets/anticoagulants within a week from surgery were independent predictors of poor outcome. However, about 75 % out of patients showed a good outcome and a RCH often appeared as a benign and self-limiting condition, which usually did not require surgical treatment, but only prolonged clinical surveillance, unless in the event of the occurrence of complications.
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