Therapy and Prognosis in Spontaneous Cerebellar Hematomas

  • U. Neubauer
  • B. Schwenk
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 21)

Abstract

Cerebellar hematomas threaten patients in a twofold way: first, by the local mass in the posterior fossa which may cause a significant brain stem compression and, second, by the concomitant hydrocephalus in many patients with increased intracranial pressure (ICP) in the supratentorial space [4, 5, 8] (Fig. 1). For the treatment of cerebellar hematomas we have three options: (a) evacuation of the hematoma by a posterior fossa approach [1–3], (b) CSF drainage by a frontal burr hole to control the hydrocephalus and ICP [6,10], and (c) conservative treatment only. Criteria for the decision as to how to treat the individual patient may be the size of the hematoma [9] and the patient’s clinical condition [7].

Keywords

Neurol Hydrocephalus Nial 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • U. Neubauer
    • 1
  • B. Schwenk
    • 1
  1. 1.Neurochirurgische KlinikUniversität Erlangen-NürnbergErlangenGermany

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