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Spontane intrazerebelläre Hämatome im Kindesalter

Spontaneous intracerebellar haematoma in childhood

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Zusammenfassung

Spontane intrazerebelläre Blutungen stellen 10% der intrakraniellen Massenblutungen dar, wobei es sich vorwiegend um eine Erkrankung des höheren Lebensalters handelt, während sie im Kindesalter selten sind. Bislang sind insgesamt nur zwölf kindliche Fälle beschrieben worden. Deswegen wird über unsere Erfahrungen bei drei eigenen Fällen berichtet. Insbesondere wird auf die diagnostischen Schwierigkeiten hingewiesen und auf den Wert der Echoenzephalographie, Angiographie und der Computer-Tomographie bei der Diagnose und exakten Lokalisation des Prozesses. Die Prognose kann auch bei Fällen mit einer schlechten neurologischen Ausgangslage gut sein, wenn die Diagnostik und Therapie unverzüglich durchgeführt wird.

Summary

Spontaneous cerebellar haemorrhage accounts for 10% of all intracranial spontaneous haematomas. It is a disease which principally affects patients over middle age, and it is rare in childhood. To twelve cases previously reported we now add a further three. Attention is drawn to the diagnostic difficulties and the values of echoencephalography, angiography, and computerized axial tomography in diagnosis and localisation of the condition. Prognosis can be good even in cases in poor condition if diagnosis and treatment are prompt.

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Mauersberger, W., Fuchs, E.C. & Ebhardt, G. Spontane intrazerebelläre Hämatome im Kindesalter. Acta neurochir 36, 255–264 (1977). https://doi.org/10.1007/BF01405395

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  • DOI: https://doi.org/10.1007/BF01405395

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