Abstract
Of 26 patients with CT confirmed intracerebellar haematoma, 17 had ventricular drainage performed and 7 patients had the haematoma evacuated.
Eleven patients died. Mortality was clearly related to state of consciousness. Seven out of 8 non-comatose patients survived but 10 out of 18 comatose patients died. As there was no incidence of deterioration immediately following placement of a ventricular drainage, the actual risk of upward transtentorial herniation seemed low. Absence of evoked potentials in 6 patients accurately predicted a fatal outcome but normal SEP and BAEP were of lesser value for predicting survival.
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References
Auer L, T Auer, I Sayama: Indications for surgical treatment of cerebellar haemorrhage and infarction. Acta neurochir 79 (1986) 74–79
Ballance H: A case of traumatic haemorrhage into the left lateral lobe of the cerebellum treated by operation with recovery. Surg Gynec Obstet 3 (1906) 223–225
Bogousslavsky J, F Regli, X Jeanrenaud: Benign outcome in unoperated large cerebellar haemorrhage. Report of two cases. Acta Neurochir 73 (1984) 59–64
Brennan R, R Bergland: Acute cerebellar haemorrhage. Analysis of clinical findings and outcome in 12 cases. Neurology 27 (1977) 527–532
Buchheit W, R Truex (eds). Surgery of the posterior fossa. Raven Press, New York 1979
Charcot J, M Bouchard: Nouvelles recherches sur la pathogénie de l'hémorrhagie cérébrale. Arch de Physiol norm et path 1 (1868) 110–127
Cuneo R, J Caronna, L Pitts, J Townsend, D Winestock: Upward trans-tentorial herniation. Arch Neurol 36 (1979) 618–623
Dinsdale H: Spontaneous hemorrhage in the posterior fossa: A study of primary cerebellar and pontine hemorrhage with observation on the pathogenesis. Arch Neurol 10 (1964) 200–217
Firsching R, RA Frowein, F Thun: Intracerebellar haematoma: eleven traumatic and non-traumatic cases and a review of the literature. Neurochir 30 (1987) 182–185
Fisher C, E Picard, A Polak, P Dalal, R Ojeman: Acute hypertensive cerebellar hemorrhage: diagnosis and surgical treatement. J Nerv Ment Dis 140 (1965) 38–57
Freeman J, R Kennedy, S Petty: Prognosis of nonoperated cerebellar hemorrhage. Ann Neurol 4 (1978) 389–390
Heimann T, S Satya-Murti: Benign cerebellar hemorrhages. Ann Neurol 3 (1978) 366–368
Lui T, D Fairholm, T Shu, C Chang, S Lee, H Chen: Surgical treatment of spontaneous cerebellar hemorrhage. Surg Neurol 23 (1985) 555–558
Norris J, C Eisen, C Branch: Problems in cerebellar hemorrhage and infarction. Neurology 19 (1969) 1043–1050
Pozzati E, C Grossi, R Padovani: Traumatic intracerebellar hematomas. J Neurosurg 56 (1982) 691–694
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Firsching, R., Huber, M. & Frowein, R.A. Cerebellar haemorrhage: Management and prognosis. Neurosurg. Rev. 14, 191–194 (1991). https://doi.org/10.1007/BF00310656
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DOI: https://doi.org/10.1007/BF00310656