Remote cerebellar hemorrhage after craniotomy for sphenoid meningioma: Case report and review of literature

Abstract Sudden decompression in a patient with chronically raised intracranial pressure (ICP) can very rarely lead to hemorrhage that occurs away from the treated site, that is, so-called remote site hemorrhage (RSH). In the field of neurosurgery, RSH constitutes a major complication resulting in poor clinical outcomes. It has been reported to occur after microsurgeries for supratentorial lesions and after spinal surgeries, probably as a result of excessive cerebrospinal fluid aspiration during said surgeries. Here, we present the case of a patient who underwent surgery for a left sphenoid ridge meningioma and subsequently developed RSH. We present a series of postoperative brain computed tomography scans and a discussion of the pathophysiology of RSH, along with a review of the related literature.