{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T10:27:31Z","timestamp":1770114451002,"version":"3.49.0"},"reference-count":34,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"16","license":[{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,4,21]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Remote supratentorial hemorrhage (RSH) is a rare condition following elective craniotomy, leading to severe morbidity. This report aims to analyze the incidence and possible pathophysiology of RSH in patients undergoing elective craniotomy and to present the case of RSH following left frontal lobectomy for recurrent oligodendroglioma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors present the case of a 56-year-old male who presented with a recurrence 20 years after resection of a left frontal oligodendroglioma (WHO grade 2). He presented with new-onset expressive dysphasia and right-sided weakness. MRI revealed a recurrent mass in the left frontal lobe. The patient was scheduled for a left frontal lobectomy.<\/jats:p>\n                    <jats:p>Surprisingly, 2 hours after the operation, the patient became neurologically worse and developed general tonic-clonic seizures. Subsequent head CT showed bilateral temporal hemorrhages. No surgical intervention was undertaken, and the patient was discharged from the hospital 2 weeks later in stable condition with near-complete neurological recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>RSH is a rare critical postoperative complication that requires careful monitoring. Early detection and intervention can improve outcomes, emphasizing the need for further research on its etiologies, risk factors, and management strategies.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE2514\">https:\/\/thejns.org\/doi\/10.3171\/CASE2514<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case2514","type":"journal-article","created":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T20:10:29Z","timestamp":1745266229000},"source":"Crossref","is-referenced-by-count":0,"title":["Supratentorial remote site hemorrhage following elective craniotomy: illustrative case"],"prefix":"10.3171","volume":"9","author":[{"given":"Turki H.","family":"Alzidani","sequence":"first","affiliation":[{"name":"Neurosurgery Department, King Faisal Medical Complex, Taif, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2933-187X","authenticated-orcid":true,"given":"Abdulaziz A.","family":"Basurrah","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, King Abdullah Medical City, Makkah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marwa A.","family":"Aljehani","sequence":"additional","affiliation":[{"name":"Neuroradiology Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3053-7912","authenticated-orcid":true,"given":"Saleh S.","family":"Baeesa","sequence":"additional","affiliation":[{"name":"Neurosciences Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"6","key":"bib1","series-title":"Neurosurgery","first-page":"1327","article-title":"Remote cerebellar hemorrhage after supratentorial surgery","volume":"49","author":"Friedman","year":"2001","unstructured":"Friedman JAPiepgras DGDuke DARemote cerebellar hemorrhage after supratentorial surgery. Neurosurgery. 2001;49(6):1327-1340."},{"issue":"2","key":"bib2","series-title":"J Korean Neurosurg Soc","first-page":"136","article-title":"Remote cerebellar hemorrhage complicated after supratentorial surgery: retrospective study with review of articles","volume":"46","author":"Park","year":"2009","unstructured":"Park JSHwang JHPark JHamm ISPark YM.Remote cerebellar hemorrhage complicated after supratentorial surgery: retrospective study with review of articles. J Korean Neurosurg Soc. 2009;46(2):136-143."},{"issue":"3","key":"bib3","series-title":"Neurosurgery","first-page":"343","article-title":"Postoperative hemorrhage: a survey of 4992 intracranial procedures","volume":"23","author":"Kalfas","year":"1988","unstructured":"Kalfas IHLittle JR.Postoperative hemorrhage: a survey of 4992 intracranial procedures. Neurosurgery. 1988;23(3):343-347."},{"issue":"6","key":"bib4","series-title":"Neurosurgery","first-page":"1114","article-title":"Intracerebral hemorrhage occurring remote from the craniotomy site","volume":"39","author":"Brisman","year":"1996","unstructured":"Brisman MHBederson JBSen CNGermano IMMoore FPost KD.Intracerebral hemorrhage occurring remote from the craniotomy site. Neurosurgery. 1996;39(6):1114-1121."},{"issue":"3","key":"bib5","series-title":"Neurol India","first-page":"296","article-title":"Remote site intracranial hemorrhage: our experience and review of literature","volume":"62","author":"Garg","year":"2014","unstructured":"Garg KTandon VSinha SSuri AMahapatra AKSharma BS.Remote site intracranial hemorrhage: our experience and review of literature. Neurol India. 2014;62(3):296-302."},{"issue":"3-4","key":"bib6","series-title":"Acta Neurochir (Wien)","first-page":"104","article-title":"Cerebellar haemorrhage as a complication after supratentorial craniotomy","volume":"88","author":"K\u00f6nig","year":"1987","unstructured":"K\u00f6nig ALaas RHerrmann HD.Cerebellar haemorrhage as a complication after supratentorial craniotomy. Acta Neurochir (Wien). 1987;88(3-4):104-108."},{"issue":"4","key":"bib7","series-title":"Neurosurgery","first-page":"841","article-title":"Contralateral cerebellar hemorrhagic infarction after pterional craniotomy: report of five cases and review of the literature","volume":"39","author":"Papanastassiou","year":"1996","unstructured":"Papanastassiou VKerr RAdams C.Contralateral cerebellar hemorrhagic infarction after pterional craniotomy: report of five cases and review of the literature. Neurosurgery. 1996;39(4):841-851."},{"issue":"4","key":"bib8","series-title":"Neurosurgery","first-page":"940","article-title":"Distant wounded glioma syndrome: report of two cases","volume":"48","author":"Koebbe","year":"2001","unstructured":"Koebbe CJSherman JDWarnick RE.Distant wounded glioma syndrome: report of two cases. Neurosurgery. 2001;48(4):940-944."},{"issue":"4","key":"bib9","series-title":"Surg Neurol","first-page":"336","article-title":"Cerebellar hemorrhage complicating supratentorial craniotomy: report of two cases","volume":"40","author":"Van Calenbergh","year":"1993","unstructured":"Van Calenbergh FGoffin JPlets C.Cerebellar hemorrhage complicating supratentorial craniotomy: report of two cases. Surg Neurol. 1993;40(4):336-338."},{"issue":"4","key":"bib10","series-title":"J Neurosurg","first-page":"718","article-title":"Cerebellar hemorrhage complicating temporal lobectomy. Report of four cases","volume":"85","author":"Toczek","year":"1996","unstructured":"Toczek MTMorrell MJSilverberg GALowe GM.Cerebellar hemorrhage complicating temporal lobectomy. Report of four cases. J Neurosurg. 1996;85(4):718-722."},{"issue":"2","key":"bib11","series-title":"J Neurosurg","first-page":"248","article-title":"Cerebellar hemorrhage arising postoperatively as a complication of supratentorial surgery: a retrospective study","volume":"96","author":"Honegger","year":"2002","unstructured":"Honegger JZentner JSpreer JCarmona HSchulze-Bonhage A.Cerebellar hemorrhage arising postoperatively as a complication of supratentorial surgery: a retrospective study. J Neurosurg. 2002;96(2):248-254."},{"key":"bib12","series-title":"Case Rep Surg","first-page":"305039","article-title":"Remote cerebellar hemorrhage after removal of a supratentorial glioma without perioperative CSF loss: A case report","volume":"2013","author":"Hara","year":"2013","unstructured":"Hara TMatsuda MWatanabe SNakai KYamamoto TMatsumura A.Remote cerebellar hemorrhage after removal of a supratentorial glioma without perioperative CSF loss: A case report. Case Rep Surg. 2013;2013:305039."},{"issue":"6 Pt 1","key":"bib13","series-title":"Neurosurgery","first-page":"689","article-title":"Intracerebral hematoma after evacuation of chronic extracerebral fluid collections","volume":"10","author":"Modesti","year":"1982","unstructured":"Modesti LMHodge CJBarnwell ML.Intracerebral hematoma after evacuation of chronic extracerebral fluid collections. Neurosurgery. 1982;10(6 Pt 1):689-693."},{"issue":"1","key":"bib14","series-title":"Neurol Med Chir (Tokyo)","first-page":"24","article-title":"Multiple remote brain hemorrhages after removal of a giant colloid cyst of the third ventricle\u2014case report","volume":"38","author":"Yamanaka","year":"1998","unstructured":"Yamanaka KIwai YNakajima HKobayashi YInoue T.Multiple remote brain hemorrhages after removal of a giant colloid cyst of the third ventricle\u2014case report. Neurol Med Chir (Tokyo). 1998;38(1):24-27."},{"issue":"1","key":"bib15","series-title":"NMC Case Rep J","first-page":"13","article-title":"Remote supratentorial hemorrhage following supratentorial craniotomy: a case report","volume":"3","author":"Nagasaki","year":"2015","unstructured":"Nagasaki HYamakawa KMochizuki YRemote supratentorial hemorrhage following supratentorial craniotomy: a case report. NMC Case Rep J. 2015;3(1):13-16."},{"issue":"2","key":"bib16","series-title":"Pediatr Neurosurg","first-page":"98","article-title":"Rapid brain shift with remote-site haemorrhage after arachnoid cyst excision: treatment dilemmas","volume":"52","author":"Ramachandran","year":"2017","unstructured":"Ramachandran GMNair RPKongwad LIShanthakumar G.Rapid brain shift with remote-site haemorrhage after arachnoid cyst excision: treatment dilemmas. Pediatr Neurosurg. 2017;52(2):98-102."},{"key":"bib17","series-title":"Interdiscip Neurosurg","first-page":"101470","article-title":"Remote cerebral and cerebellar hemorrhage after removal of supratentorial ganglioglioma: a case report and review of the literature","volume":"28","author":"Bogale Megerssa","year":"2022","unstructured":"Bogale Megerssa THirbo Guyolla YTamrat Belete D.Remote cerebral and cerebellar hemorrhage after removal of supratentorial ganglioglioma: a case report and review of the literature. Interdiscip Neurosurg. 2022;28:101470."},{"issue":"6","key":"bib1","series-title":"Neurosurgery","first-page":"1327","article-title":"Remote cerebellar hemorrhage after supratentorial surgery","volume":"49","author":"Friedman","year":"2001","unstructured":"Friedman JAPiepgras DGDuke DARemote cerebellar hemorrhage after supratentorial surgery. Neurosurgery. 2001;49(6):1327-1340."},{"issue":"2","key":"bib2","series-title":"J Korean Neurosurg Soc","first-page":"136","article-title":"Remote cerebellar hemorrhage complicated after supratentorial surgery: retrospective study with review of articles","volume":"46","author":"Park","year":"2009","unstructured":"Park JSHwang JHPark JHamm ISPark YM.Remote cerebellar hemorrhage complicated after supratentorial surgery: retrospective study with review of articles. J Korean Neurosurg Soc. 2009;46(2):136-143."},{"issue":"3","key":"bib3","series-title":"Neurosurgery","first-page":"343","article-title":"Postoperative hemorrhage: a survey of 4992 intracranial procedures","volume":"23","author":"Kalfas","year":"1988","unstructured":"Kalfas IHLittle JR.Postoperative hemorrhage: a survey of 4992 intracranial procedures. Neurosurgery. 1988;23(3):343-347."},{"issue":"6","key":"bib4","series-title":"Neurosurgery","first-page":"1114","article-title":"Intracerebral hemorrhage occurring remote from the craniotomy site","volume":"39","author":"Brisman","year":"1996","unstructured":"Brisman MHBederson JBSen CNGermano IMMoore FPost KD.Intracerebral hemorrhage occurring remote from the craniotomy site. Neurosurgery. 1996;39(6):1114-1121."},{"issue":"3","key":"bib5","series-title":"Neurol India","first-page":"296","article-title":"Remote site intracranial hemorrhage: our experience and review of literature","volume":"62","author":"Garg","year":"2014","unstructured":"Garg KTandon VSinha SSuri AMahapatra AKSharma BS.Remote site intracranial hemorrhage: our experience and review of literature. Neurol India. 2014;62(3):296-302."},{"issue":"3-4","key":"bib6","series-title":"Acta Neurochir (Wien)","first-page":"104","article-title":"Cerebellar haemorrhage as a complication after supratentorial craniotomy","volume":"88","author":"K\u00f6nig","year":"1987","unstructured":"K\u00f6nig ALaas RHerrmann HD.Cerebellar haemorrhage as a complication after supratentorial craniotomy. Acta Neurochir (Wien). 1987;88(3-4):104-108."},{"issue":"4","key":"bib7","series-title":"Neurosurgery","first-page":"841","article-title":"Contralateral cerebellar hemorrhagic infarction after pterional craniotomy: report of five cases and review of the literature","volume":"39","author":"Papanastassiou","year":"1996","unstructured":"Papanastassiou VKerr RAdams C.Contralateral cerebellar hemorrhagic infarction after pterional craniotomy: report of five cases and review of the literature. Neurosurgery. 1996;39(4):841-851."},{"issue":"4","key":"bib8","series-title":"Neurosurgery","first-page":"940","article-title":"Distant wounded glioma syndrome: report of two cases","volume":"48","author":"Koebbe","year":"2001","unstructured":"Koebbe CJSherman JDWarnick RE.Distant wounded glioma syndrome: report of two cases. Neurosurgery. 2001;48(4):940-944."},{"issue":"4","key":"bib9","series-title":"Surg Neurol","first-page":"336","article-title":"Cerebellar hemorrhage complicating supratentorial craniotomy: report of two cases","volume":"40","author":"Van Calenbergh","year":"1993","unstructured":"Van Calenbergh FGoffin JPlets C.Cerebellar hemorrhage complicating supratentorial craniotomy: report of two cases. Surg Neurol. 1993;40(4):336-338."},{"issue":"4","key":"bib10","series-title":"J Neurosurg","first-page":"718","article-title":"Cerebellar hemorrhage complicating temporal lobectomy. Report of four cases","volume":"85","author":"Toczek","year":"1996","unstructured":"Toczek MTMorrell MJSilverberg GALowe GM.Cerebellar hemorrhage complicating temporal lobectomy. Report of four cases. J Neurosurg. 1996;85(4):718-722."},{"issue":"2","key":"bib11","series-title":"J Neurosurg","first-page":"248","article-title":"Cerebellar hemorrhage arising postoperatively as a complication of supratentorial surgery: a retrospective study","volume":"96","author":"Honegger","year":"2002","unstructured":"Honegger JZentner JSpreer JCarmona HSchulze-Bonhage A.Cerebellar hemorrhage arising postoperatively as a complication of supratentorial surgery: a retrospective study. J Neurosurg. 2002;96(2):248-254."},{"key":"bib12","series-title":"Case Rep Surg","first-page":"305039","article-title":"Remote cerebellar hemorrhage after removal of a supratentorial glioma without perioperative CSF loss: A case report","volume":"2013","author":"Hara","year":"2013","unstructured":"Hara TMatsuda MWatanabe SNakai KYamamoto TMatsumura A.Remote cerebellar hemorrhage after removal of a supratentorial glioma without perioperative CSF loss: A case report. Case Rep Surg. 2013;2013:305039."},{"issue":"6 Pt 1","key":"bib13","series-title":"Neurosurgery","first-page":"689","article-title":"Intracerebral hematoma after evacuation of chronic extracerebral fluid collections","volume":"10","author":"Modesti","year":"1982","unstructured":"Modesti LMHodge CJBarnwell ML.Intracerebral hematoma after evacuation of chronic extracerebral fluid collections. Neurosurgery. 1982;10(6 Pt 1):689-693."},{"issue":"1","key":"bib14","series-title":"Neurol Med Chir (Tokyo)","first-page":"24","article-title":"Multiple remote brain hemorrhages after removal of a giant colloid cyst of the third ventricle\u2014case report","volume":"38","author":"Yamanaka","year":"1998","unstructured":"Yamanaka KIwai YNakajima HKobayashi YInoue T.Multiple remote brain hemorrhages after removal of a giant colloid cyst of the third ventricle\u2014case report. Neurol Med Chir (Tokyo). 1998;38(1):24-27."},{"issue":"1","key":"bib15","series-title":"NMC Case Rep J","first-page":"13","article-title":"Remote supratentorial hemorrhage following supratentorial craniotomy: a case report","volume":"3","author":"Nagasaki","year":"2015","unstructured":"Nagasaki HYamakawa KMochizuki YRemote supratentorial hemorrhage following supratentorial craniotomy: a case report. NMC Case Rep J. 2015;3(1):13-16."},{"issue":"2","key":"bib16","series-title":"Pediatr Neurosurg","first-page":"98","article-title":"Rapid brain shift with remote-site haemorrhage after arachnoid cyst excision: treatment dilemmas","volume":"52","author":"Ramachandran","year":"2017","unstructured":"Ramachandran GMNair RPKongwad LIShanthakumar G.Rapid brain shift with remote-site haemorrhage after arachnoid cyst excision: treatment dilemmas. Pediatr Neurosurg. 2017;52(2):98-102."},{"key":"bib17","series-title":"Interdiscip Neurosurg","first-page":"101470","article-title":"Remote cerebral and cerebellar hemorrhage after removal of supratentorial ganglioglioma: a case report and review of the literature","volume":"28","author":"Bogale Megerssa","year":"2022","unstructured":"Bogale Megerssa THirbo Guyolla YTamrat Belete D.Remote cerebral and cerebellar hemorrhage after removal of supratentorial ganglioglioma: a case report and review of the literature. Interdiscip Neurosurg. 2022;28:101470."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/9\/16\/article-CASE2514.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/9\/16\/article-CASE2514.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/9\/16\/article-CASE2514.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T23:38:33Z","timestamp":1770075513000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/9\/16\/article-CASE2514.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,21]]},"references-count":34,"journal-issue":{"issue":"16"},"URL":"https:\/\/doi.org\/10.3171\/case2514","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,21]]}}}