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Ondokuzmayıs Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Samsun, Türkiye Remote parenchymal hemorrhage (RPH) is a rare complication seen especially following elderly patients' supratentorial neurosurgical procedures. A71-year-old female patient presented with a suddenly occurring aphasia and a right-sided hemiparesia. Left fronto-temporal intracerebral hemorrhage was seen in the cranial tomography and the hemorrhage was drained with a left fronto-temporal craniotomy. At the postoperative twelfth hour, a 3x2x2 cm left cerebellar intraparenchymal hemorrhage was seen at the follow-up cranial tomography. The patient was discharged with recovered aphasia and could walk with minor help after conservative medical treatment. For this reason we discussed infratentorial hemorrhage and its etiopathogenesis when it follows supratentorial hematoma drainage or mass evacuation. Anahtar Kelimeler : Hematoma evacuation, Supratentorial surgery, Remote cerebellary hematoma