A case of multiple intracranial hematomas remoto from the site of craniotomy

Abstract

Intracranial hematomas remote from the site of the initial craniotomy are rare but serious complications. We report a case of cerebellar hemorrhage and multiple supratentorial hematomas that developed after a right frontotemporal craniotomy for intracranial aneurysms. We speculate that these hematomas occur as a result of a combination of wide variation in perioperative blood pressure and poor cerebral venous circulation. Care should be taken to avoid overdrainage of cerebrospinal fluid during surgery. In addition, expert perioperative anesthetic management is important is preventing the occurrence of remote intracranial hematomas.