Neurosurgical Review

, Volume 14, Issue 3, pp 191–194 | Cite as

Cerebellar haemorrhage: Management and prognosis

  • Raimund Firsching
  • Michael Huber
  • Reinhold A. Frowein
Original Articles

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.

Keywords

Cerebellar haemorrhage management-prognosis 

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References

  1. [1]
    Auer L, T Auer, I Sayama: Indications for surgical treatment of cerebellar haemorrhage and infarction. Acta neurochir 79 (1986) 74–79Google Scholar
  2. [2]
    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) 223–225Google Scholar
  3. [3]
    Bogousslavsky J, F Regli, X Jeanrenaud: Benign outcome in unoperated large cerebellar haemorrhage. Report of two cases. Acta Neurochir 73 (1984) 59–64Google Scholar
  4. [4]
    Brennan R, R Bergland: Acute cerebellar haemorrhage. Analysis of clinical findings and outcome in 12 cases. Neurology 27 (1977) 527–532Google Scholar
  5. [5]
    Buchheit W, R Truex (eds). Surgery of the posterior fossa. Raven Press, New York 1979Google Scholar
  6. [6]
    Charcot J, M Bouchard: Nouvelles recherches sur la pathogénie de l'hémorrhagie cérébrale. Arch de Physiol norm et path 1 (1868) 110–127Google Scholar
  7. [7]
    Cuneo R, J Caronna, L Pitts, J Townsend, D Winestock: Upward trans-tentorial herniation. Arch Neurol 36 (1979) 618–623Google Scholar
  8. [8]
    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) 200–217Google Scholar
  9. [9]
    Firsching R, RA Frowein, F Thun: Intracerebellar haematoma: eleven traumatic and non-traumatic cases and a review of the literature. Neurochir 30 (1987) 182–185Google Scholar
  10. [10]
    Fisher C, E Picard, A Polak, P Dalal, R Ojeman: Acute hypertensive cerebellar hemorrhage: diagnosis and surgical treatement. J Nerv Ment Dis 140 (1965) 38–57Google Scholar
  11. [11]
    Freeman J, R Kennedy, S Petty: Prognosis of nonoperated cerebellar hemorrhage. Ann Neurol 4 (1978) 389–390Google Scholar
  12. [12]
    Heimann T, S Satya-Murti: Benign cerebellar hemorrhages. Ann Neurol 3 (1978) 366–368Google Scholar
  13. [13]
    Lui T, D Fairholm, T Shu, C Chang, S Lee, H Chen: Surgical treatment of spontaneous cerebellar hemorrhage. Surg Neurol 23 (1985) 555–558Google Scholar
  14. [14]
    Norris J, C Eisen, C Branch: Problems in cerebellar hemorrhage and infarction. Neurology 19 (1969) 1043–1050Google Scholar
  15. [15]
    Pozzati E, C Grossi, R Padovani: Traumatic intracerebellar hematomas. J Neurosurg 56 (1982) 691–694Google Scholar

Copyright information

© Walter de Gruyter & Co. 1991

Authors and Affiliations

  • Raimund Firsching
    • 1
  • Michael Huber
    • 1
  • Reinhold A. Frowein
    • 1
  1. 1.Department of NeurosurgeryUniversity of CologneCologneFed. Rep. of Germany

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