J Korean Neurosurg Soc.  1993 Oct;22(10):1129-1132.

A Postoperative Venous Hemorrhagic Infarction of Cerebellopontine Angle Tumor:1 Cases

• Lim JB
• Kim HK
• Moon JG
• Hwang YS
• Lee HD

Abstract

The authors present a case of cerebrellar venous hemorrhagic infarction which developed after removal of a cerebellopontine angle meningioma. The clinical course was rapidly fatal inspite of an aggressive management including surgical decompression beginning from 30 minutes after complete recovery from anesthesia. The brain C-T scan showed flame-shaped subcortical hemorrhage which is known to be a typical finding of a venous hemorrhagic infarction. The causes may be two fold:One is the cautrization and resection of multiple petrosal veins which were inevitable because of a bleeding from the vein and the other is the venous congestion caused by the compression of an internal jugular vein in oblique supine position. Reminding of one or oth of the above possibilities whenever we are performing surgery around the superior petrosal vein may help us to prevent the rare but fatal complication of this kind.

Keyword

Venous hemorrhagic infarction; Superior petrosal vein; Cereellopontine angle

MeSH Terms

Anesthesia
Brain
Cerebellopontine Angle*
Decompression, Surgical
Hemorrhage
Hyperemia
Infarction*
Jugular Veins
Meningioma
Supine Position
Veins