![]() We used gliolan, and uptake in the lesion was observed on intraoperative fluorescent imaging ( Fig. The consistency of the mass was sticky without significant internal necrosis. 1A), we decided to confirm the pathology by surgical exploration following a decision by the patient's caregivers, and the mass was removed completely. Her family history was notable in that both parents died from ischemic stroke, one brother had liver cancer and four sisters had hypertension and diabetes mellitus.Īs the mass was suggestive of a malignant brain tumor on magnetic resonance (MR) contrast images ( Fig. She had existing diagnoses of hypertension and diabetes mellitus. Two cases of remote cerebellar infarction from supratentorial neurosurgery, who survived and recovered after early decompressive craniectomy and EVD catheter insertion, are reviewed and technical aspects of the surgical management of cerebellar infarction are discussed.Ī 66-year-old female patient who was diagnosed with cerebral infarction in the right frontal lobe presented to our clinic complaining of a mild headache. In addition to the benefit of the surgery itself, early craniectomy is another trend leading this field. As there are no randomized controlled study on cerebellar infarction, we still make analogy on this topic from studies of general cerebral infarction and traumatic brain injury. For its slow aggravation of cerebellar infarction compared to hemorrhagic counterparts, the timing and the extent of surgery are still controversial. Surgical treatments for patients with cerebellar infarction, like suboccipital decompression or extraventricular drainage (EVD) catheter insertion, are known as effective treatments. While cerebellar hemorrhage from supratentorial brain surgery or spinal surgery has frequently been reported, cerebellar infarction from supratetorial surgery has not been documented. Intracranial hemorrhage (ICH) and infarction are two of the most important complications following neurosurgery, as they can completely change the course of a disease or the treatment plan.
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