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Long-Term Outcome and Prognostic Factors After Spontaneous Cerebellar Hemorrhage

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Abstract

Cerebellar hemorrhage is the least common type of intracranial hemorrhage (ICH) encountered in clinical practice, and clinical data concerning the long-term outcomes are limited. This study aimed to investigate the long-term outcomes following spontaneous cerebellar hemorrhage in a cohort of Chinese patients. This single-center observational study was carried out between 1996 and 2010 and included 72 consecutive Chinese patients with a first spontaneous cerebellar hemorrhage. Of 440 patients with primary ICH, 72 (16.4%) had primary cerebellar hemorrhage. The mean age was 67.5 ± 12.3 years and patients were predominantly male (54%). The 30-day mortality was 16.7% with Glasgow coma scale ≤8 as the only predictor. At 6 months, 56.7% of patients who survived the first 30 days had a persistently poor functional status with modified Rankin scale score >2. After a mean follow-up of 4.7 years, 3.3% of patients had recurrent ICH, a recurrence rate of 7.3 per 1,000 patient-years. Ischemic stroke occurred in 12% of patients, an incidence of 25.5 per 1,000 patient-years. This study provided data on the long-term outcome of post-cerebellar hemorrhage in Chinese patients.

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Conflict of interest

None of the author has a real or perceived conflict of interest or a disclosure of any personal or financial support.

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Authors and Affiliations

  1. Cardiology Division, Department of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, SAR, China

    Vincent Pong, Boon-Hor Chong, Hung-Fat Tse & Chung-Wah Siu

  2. Neurology Division, Department of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, SAR, China

    Koon-Ho Chan

  3. Division of Neurosurgery, Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, SAR, China

    Wai-Man Lui, Gilberto Ka-Kit Leung & Jenny Kan-Suen Pu

  4. Cardiology Division, Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China

    Jenny Kan-Suen Pu & Chung-Wah Siu

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  1. Vincent Pong
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  2. Koon-Ho Chan
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  3. Boon-Hor Chong
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Corresponding authors

Correspondence to Jenny Kan-Suen Pu or Chung-Wah Siu.

Additional information

Vincent Pong and Koon-Ho Chan contributed equally to this study.

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Pong, V., Chan, KH., Chong, BH. et al. Long-Term Outcome and Prognostic Factors After Spontaneous Cerebellar Hemorrhage. Cerebellum 11, 939–945 (2012). https://doi.org/10.1007/s12311-012-0371-9

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  • DOI: https://doi.org/10.1007/s12311-012-0371-9

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