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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2020; 30(04): 521-523
DOI: 10.4103/ijri.IJRI_123_20
Case Report

Remote cerebellar haemorrhage: A case report

Sachin Kumar
Departments of Radiology, Kokilaben Dhirubhai Ambani Hopsital and Research Institute, Mumbai, Maharashtra, India
,
Hrishikesh A Kale
Departments of Radiology, Kokilaben Dhirubhai Ambani Hopsital and Research Institute, Mumbai, Maharashtra, India
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Abstract

Intracranial haemorrhage after supra-tentorial craniotomies can occur in a typical pattern and location which may suggest the diagnosis of remote cerebellar haemorrhage (RCH) which is quite a rare occurrence. The ‘Zebra Sign’ refers to a pattern of hyperdensity indicative of blood and hypodensity indicative of normal cerebellar parenchyma in a curvilinear, stripe-like fashion along the cerebellar folia and is a characteristic imaging finding in RCH. RCH in general doesn’t require surgical treatment, however in cases of significant hydrocephalus or progressive deterioration of consciousness surgical treatment may be warranted. The knowledge of this condition is important as it can pre-empt unnecessary further investigations and biopsy. Although imaging appearance may be striking, close imaging follow-up and clinical monitoring are often enough for the management of this entity.

Keywords

Cerebellum - craniotomy - intracranial hemorrhages - postoperative complications


Publication History

Received: 04 March 2020

Accepted: 01 September 2020

Article published online:
14 July 2021

© 2020. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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