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Updated: May 5, 2026

A Murine Model of Subarachnoid Hemorrhage
Published on: November 21, 2013
Remote supratentorial intraparenchymal bleed after posterior fossa surgery: A rare occurrence
Abbas Hibtullah Moaiyadi1, Mayank Tripathi1, Pavan Tulshiram Lanjewar1
1Department of Neurosurgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
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.
Insights
Remote intraparenchymal hemorrhage after brain surgery is rare. This case highlights a unique instance of bleeding occurring far from the surgical site, managed successfully with conservative treatment.
Area of Science:
- Neurosurgery
- Neurology
- Radiology
Background:
- Intraparenchymal hemorrhage at the operative site is a known complication of brain surgery.
- Hemorrhage occurring at a site remote from the operative site is unusual but can lead to significant morbidity and mortality.
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