Cerebellar infarction after uncomplicated laparoscopic hysterectomy

Objective To review a case of cerebellar infarction after uncomplicated lap aroscopic hysterectomy. Methods The clinical course and radiological findings in a 45-year-old prev iously healthy woman are reviewed. Results The patient suffered from headache and dizziness from the first pos toperative day after a surgically uncomplicated laparoscopic hysterectomy. At 1 week after the operation she was readmitted because of continuing symp toms. Computer tomographic scan results of the brain were normal, while mag netic resonance imaging revealed two small infarctions in the right cerebel lar hemisphere. At 3 years after the operation she still has mild neurologi cal symptoms and is not capable of her previous work. Conclusion Haemodynamic changes related to head-down tilt position combined with pneumoperitoneum may have hazardous effects on the brain even in prev iously clinically healthy patients.