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Case Reports
. 2019 Jan 3;14(3):385-389.
doi: 10.1016/j.radcr.2018.12.006. eCollection 2019 Mar.

Remote cerebellar hemorrhage: A case report

Adil Omer  1 , Ester Engelman  1 , Khushbir Bath  2 , Alan V Krauthamer  1 , Leszek Pisinski  1
Affiliations
Case Reports

Remote cerebellar hemorrhage: A case report

Adil Omer et al. Radiol Case Rep. .

Abstract

Remote Cerebellar Hemorrhage is a rare entity that manifests spontaneously after supratentorial craniotomy and spinal surgeries. We present a 53-year-old male who was admitted due to subdural hematoma along the left frontoparietotemporal convexity. After treatment of the subdural hematoma with craniotomy and evacuation, he developed remote cerebellar hemorrhage 1 week later. Brain computed tomography demonstrated the zebra sign. Follow-up imaging showed complete recovery without any neurologic symptoms or signs.

Keywords: Cerebellum; Hemorrhage; RCH; Remote; Zebra sign.

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Figures

Fig. 1.
Fig. 1
Axial brain computed tomography (CT) scan subdural window. (A) Supratentorial view of the cerebrum showing subdural hematoma extending along the left convexity of the brain exerting mass effect with left to right midline shift. (B) Infratentorial view of the cerebellum showing no abnormalities. (A) and (B) were taken at the time of presentation.
Fig. 2.
Fig. 2
Axial brain CT scan subdural window. (A) and (B) performed after the first decompression of the subdural hematoma at presentation. (A) Demonstrating residual extra-axial hematoma on the left side of the brain (white arrow). (B) Cerebellum view showing no abnormalities. (C) and (D) axial brain CT scan after the second decompression surgery showing near complete resolution of hemorrhage with mild residual blood products and pneumocephalus but no abnormalities in the cerebellum.
Fig. 3.
Fig. 3
Axial brain CT scan at the level of cerebellum, in subdural window performed 1 week after initial craniotomy. (A) Showing bilateral cerebellar hemorrhages (white arrow) which closely resemble the zebra sign in addition to elements of interstitial hemorrhage (mixed pattern). (B) The white arrow points toward a slight downward extension of the right cerebellar hemorrhage compared to the left side.
Fig. 4.
Fig. 4
Axial brain CT scan subdural window. (A) Follow-up image prior to discharge showing bilateral cerebellar hemorrhages. (B) Five-month follow-up images after discharge showing complete spontaneous resolution of the bilateral cerebellar hemorrhages.
See this image and copyright information in PMC

References

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