OpenMed/multicare-articles huggingface dataset:
Fatal remote cerebellar hemorrhage after supratentorial unruptured aneurysm surgery in patient with previous cerebellar infarction: A case report
Authors: Eun-Jeong Koh, Jung-Soo Park
Journal: Medicine (Baltimore) (2017)
MeSH terms: Cerebellar Diseases / etiology, Intracranial Aneurysm / surgery, Intracranial Hemorrhages / etiology, Postoperative Complications / etiology, Case Reports, Fatal Outcome, Humans, Male, Middle Aged

Rationale:
Remote cerebellar hemorrhage (RCH) is a rare complication of supratentorial and spinal surgeries, seldom requiring intervention but occasionally causing significant morbidity or even mortality. Although a number of theories have been proposed, the exact pathophysiology of RCH remains incompletely understood.
Patient concerns:
We present a 62-year-old patient with RCH encountered following surgical clipping of an unruptured middle cerebral artery bifurcation aneurysm in a patient with previous cerebellar infarction.
Lessons:
It is extremely rare, but sometimes, RCH can be life-threatening. It is necessary to check the patient's general condition, underlying diseases and medical history. And controlled drainage of the CSF seems to be most important. Arachnoidplasty may be a consideration and the position of the drain string might have to be carefully determined.