{"id":"de8220e3-9ccc-4083-b048-5c236ed5c892","slug":"remote-supratentorial-intraparenchymal-bleed-after-posterior-fossa-surgery-a-rare-occurrence","title":"Remote supratentorial intraparenchymal bleed after posterior fossa surgery: A rare occurrence","authors":["Abbas Hibtullah Moaiyadi","Mayank Tripathi","Pavan Tulshiram Lanjewar","Simran Kaur Syal","Binoy Kumar Singh","Shailendra Anjankar","Charandeep Singh Gandhoke"],"abstract":"Background: Intraparenchymal hemorrhage at the operative site is one of the major complications of brain surgery. It is unusual to occur at a site remote from the operative site, but when it happens, it may cause significant morbidity and mortality. Case Description: We report the case of a 27-year-old male who presented with complaints of paresthesias over the left side of his face and decreased hearing from the left ear for two years. His radiology was suggestive of a large left cerebellopontine angle epidermoid cyst. The patient underwent left retro mastoid suboccipital craniotomy and near-total excision of the epidermoid cyst. The immediate postoperative non-contrast computed tomography scan of the brain was suggestive of no hematoma at the operated site but a remote left parafalcine frontoparietal intraparenchymal bleed, which was managed conservatively. At two months follow-up, he had no neuro deficits, and magnetic resonance imaging of the brain was suggestive of near-total excision of the epidermoid cyst with resolving left parafalcine frontoparietal bleed. Conclusion: We report this case due to the unique case observation of an intracranial bleed at a remote site rather than at the operated site.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/de8220e3-9ccc-4083-b048-5c236ed5c892/featured/hero-1781559666000.png","publishDate":"2024-03-15T00:00:00.000Z","doi":"10.25259/SNI_748_2023","categories":["Unique Case Observations","Image Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/de8220e3-9ccc-4083-b048-5c236ed5c892/pdf"}