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.
Literatur
Aring, C. D., Merrit, H. H., Differential diagnosis between cerebral hemorrhage and cerebral thrombosis: a clinical and pathologic study of 245 cases. Arch. intern. med.56 (1935), 435–456.
Arseni, C., Oprescu, I., Cerebellar hematomas. J. Neurosurg.16 (1959), 503–507.
Ballance, H. A., Case of traumatic haemorrhage into the left lateral lobe of the cerebellum, treated by operation, with recovery. Surg. Gynec. and Obstet.3 (1906), 223–225.
Crawford, J. V., Russel, D. S., Cryptic arteriovenous and venous hematomas of the brain. J. Neurol. Neurosurg. Psychiat.19 (1956), 1–11.
Del Vivo, R. E., Ploncard, P. H., Les hématomes intracérébelleux spontanés. Arch. Neurol. Neurochirurg. Psychiat.3 (1972), 463–472.
Dinsdale, H. B., Spontaneous hemorrhage in the posterior fossa. A study of primary cerebellar and pontine hemorrhages with observations on their pathogenesis. Arch. Neurol.10 (1964), 200–217.
Ehrenberg, G., Rubin, R., Shulman, K., Cerebellar hematomas caused by angiomas in children. J. Neurol. Neurosurg. Psychiat.35 (1972), 304–310.
Fang, H. C. H., Foley, J. M., Hypertensive hemorrhages of the pons and cerebellum. Arch. Neurol. Psych. (Chic.)72 (1954), 638–639.
Freeman, R. E., Onofrio, B. M., Okazaki, H., Dinapoli, R. P., Spontaneous intracerebellar hemorrhage diagnosis and surgical treatment. Neurol. (Minneap.)23 (1973), 84–90.
Hyland, H. H., Levy, D., Spontaneous cerebellar hemorrhage. Canad. med. Ass.J. 71 (1954), 315–323.
Lichtenstein, R. S., Spontaneous cerebellar hematomas. A report of three operated cases and review of the literature. Johns Hopkins Med. J.122 (1968), 319–328.
McKissock, W., Richardson, A., Walsh, L., Spontaneous cerebellar haemorrhage. A study of 34 consecutive cases treated surgically. Brain83 (1960), 1–9.
Michael, J. C., Cerebellar apoplexy. Amer. J. med. Sci.183 (1932), 687–695.
Mitchell, M., Angrist, A., Spontaneous cerebellar hemorrhage: report of fifteen cases. Am. J. Pathol.18 (1942), 935–946.
Norris, J. W., Eisen, A. A., Branch, Ch. L., Problems in cerebellar hemorrhage and infarction. Neurol. (Minneap.)19 (1969), 1043–1050.
Odom, G. L., Tindall, G. T., Dukes, H. T., Cerebellar hematoma caused by angiomatous malformations. Report of four cases. J. Neurosurg.18 (1961), 777–782.
Rey-Bellet, J., Cerebellar hemorrhage. A clinicopathologic study. Neurol. (Minneap.)10 (1960), 217–222.
Sédillot, J., zit. nach Freemanet al..
Trash, A. M., Vascular malformations of the cerebellum. Arch. Pathol.75 (1963), 77–81.
Werden, D. H., Spontaneous intracerebral and cerebellar hematoma. Report of six cases with operative treatment. Bull. Los Angeles Neurol. Soc.16 (1951), 174–184.
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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