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CASE REPORT Table of Contents   
Year : 2020  |  Volume : 30  |  Issue : 4  |  Page : 521-523
Remote cerebellar haemorrhage: A case report


Department of Radiology, Kokilaben Dhirubhai Ambani Hopsital and Research Institute, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Sachin Kumar
Department of Radiology, Kokilaben Dhirubhai Ambani Hospital and Research Institute, Mumbai - 400 053, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijri.IJRI_123_20

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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.


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