Abstract
Although spontaneous cerebellar hematomas only represent 1%–13% [12] of all intracerebral hemorrhages, their reported mortality rate varies between 50% and 80% [7], With the introduction of computed tomography (CT) as a diagnostic tool, diagnosis and localization can be done very early. Since then, and using different therapeutic approaches, a higher rate of survivors has been achieved. Despite this fact the management of this affection is still controversial and different procedures such as conservative treatment, ventricular drainage, and direct or stereotactic clot evacuation have been advocated [1, 10, 13–16]. We have reviewed our cases in an attempt to clarify the management and improve the outcome of these patients.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bogousslavsky J, Regli F, Jeanrenaud X (1984) Benign outcome in unoperated large cerebellar haemorrhage. Report of 2 cases. Acta Neurochir 73:59–65
Brillman J (1979) Acute hydrocephalus and death one month after nonsurgical treatment for acute cerebellar hemorrhage. J Neurosurg 50:374–376
Firsching R, Huber M, Frowein R (1991) Cerebellar haemorrhage: management and prognosis. Neurosurg Rev 14:191–194
Heros RC (1982) Cerebellar hemorrhage and infarction. Stroke 13:106–109
Knüpling R, Fuchs EC, Stoltenburg G et al. (1979) Chronic and acute transtentorial herniation with tumors of the posterior cranial fossa. Neurochirurgia 22:9–17
Little JR, Tubman DE, Ethier R (1978) Cerebellar hemorrhage in adults. Diagnosis by computerized tomography. J Neurosurg 48:575–579
Lui TN, Fairholm DJ, Shu TF et al. (1985) Surgical treatment of spontaneous cerebellar hemorrhage. Surg Neurol 23:555–558
McKissock W, Richardson A, Walsh L (1960) Spontaneous cerebellar haemorrhage. A study of 34 consecutive cases treated surgically. Brain 83:1–9
Mitchell N, Angrist A (1942) Spontaneous cerebellar hemorrhage: Report of 15 cases. Am J Pathol 18:235–253
Mohadjer M, Braus DF, Myers A et al. (1992) CT stereotactic fibrinolysis of spontaneous intracerebral hematomas. Neurosurg Rev 15:105–110
Ott KH, Kase CS, Ojemann RG et al. (1974) Cerebellar hemorrhage: diagnosis and treatment. A review of 56 cases. Arch Neurol 31:160–167
Richardson AE (1972) Spontaneous cerebellar hemorrhage. In: Vinken PJ, Bruyn GW, (eds) Handbook of clinical neurology. Elsevier, New York, pp 54–67
Salazar J, Vaquero J, Martinez P et al. (1986) Clinical and CT scan assessment of benign versus fatal spontaneous cerebellar haematomas. Acta Neurochir 79:80–86
Shenkin HA, Zavala M (1982) Cerebellar strokes: mortality, surgical indications and results of ventricular drainage. Lancet 2:429–432
Taneda M, Hayakawa T, Mogami H (1987) Primary cerebellar hemorrhage. Quadrigeminal cistern obliteration on CT scans as a predictor of outcome. J Neurosurg 67:545–552
Waidhauser E, Hamburger C, Marguth F (1990) Neurosurgical management of cerebellar hemorrhage. Neurosurg Rev 13:211–217
Weisberg LA (1986) Acute cerebellar hemorrhage and CT evidence of tight posterior fossa. Neurology 36:858–860
Zieger A, Vonofakos D, Steudel WI (1984) Nontraumatic intracerebellar hematomas: prognostic value of volumetric evaluation by computed tomography. Surg Neurol 22:491–494
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Additional information
Dedicated to Prof. Dr. Dr. h.c. R. Lorenz on his 60th birthday.
Rights and permissions
Copyright information
© 1993 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Rosenthal, D., Marquardt, G., Sievert, T. (1993). Spontaneous Cerebellar Hemorrhage: Acute Management and Prognosis. In: Lorenz, R., Klinger, M., Brock, M. (eds) Intracerebral Hemorrhage Hydrocephalus malresorptivus Peripheral Nerves. Advances in Neurosurgery, vol 21. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77997-8_12
Download citation
DOI: https://doi.org/10.1007/978-3-642-77997-8_12
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-56304-4
Online ISBN: 978-3-642-77997-8
eBook Packages: Springer Book Archive