ISSN: 1859 - 2872
Evaluating the surgical treatment of spontaneous cerebellar hemorrhage
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Abstract
Objective: Spontaneous cerebellar hemorrhages (SCHs) are rare, but the mortality of SCHs is hight, approximately 16.7 - 50%. This study investigated the surgical treatment of SCHs and the relation between its clinical, radiological manifestation and outcome. Subject and method: Retrospectively study. Evaluating the surgical management result in 108 Military Central Hospital and analyzing the clinical and radiological findings in 46 SCHs from March 2014 to June 2019. Result: The average age of the studied patients was 60.37 ± 11.61 and there were 82.6% between 50 and 70 years of age. Patients with hypertension constituted 67.4%. The pre-operative average GCS was 8.09 ± 1.98. In brain CT, the largest hematoma diameter larger than 3cm in 84.8% and the 4th ventricular decompression in 100% of patients. Hydrocephalus constituted 82.6% and intraventricular haemorrhage (IVH) was in 69.6%. The post-operative favorable outcomes (GOS: 4 - 5) were 54.3%. The mortality rate was 17.4%. Conclusion: The surgery has important role in treatment for spontaneous cerebellar hemorrhage. Initial GCS score, the largest hematoma diameter and intraventricular hemorrhage on CT are significant prognostic factor of outcome in SCH patients.
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References
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