Case of the Week
Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
Sign up to receive an email alert when a new Case of the Week is posted.
September 29, 2008
Remote Cerebellar Hemorrhage
- Remote cerebellar hemorrhage is a usually self-limiting complication of spinal and supratentorial surgery.
- The streaky bleeding pattern in the sulci of one or both upper cerebellar hemispheres, also referred to as the "zebra-sign," sometimes extends into the cerebellar parenchyma.
- The exact pathomechanism is unclear, but a loss of CSF has been reported in many cases of this most likely venous bleeding.
- Prognosis depends on severity of hemorrhage and patient's age. Outcome is good in more than 50% of all patients with only mild remaining neurological symptoms or complete recovery; death occurs in approximately 10'15%.
