Advertisement

Spontaneous Cerebellar Hemorrhage: Acute Management and Prognosis

  • D. Rosenthal
  • G. Marquardt
  • T. Sievert
Part of the Advances in Neurosurgery book series (NEURO, volume 21)

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.

Keywords

External Ventricular Drainage Adult Respiratory Distress Syndrome Acute Management Basal Cistern Hematoma Volume 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bogousslavsky J, Regli F, Jeanrenaud X (1984) Benign outcome in unoperated large cerebellar haemorrhage. Report of 2 cases. Acta Neurochir 73:59–65CrossRefGoogle Scholar
  2. 2.
    Brillman J (1979) Acute hydrocephalus and death one month after nonsurgical treatment for acute cerebellar hemorrhage. J Neurosurg 50:374–376PubMedCrossRefGoogle Scholar
  3. 3.
    Firsching R, Huber M, Frowein R (1991) Cerebellar haemorrhage: management and prognosis. Neurosurg Rev 14:191–194PubMedCrossRefGoogle Scholar
  4. 4.
    Heros RC (1982) Cerebellar hemorrhage and infarction. Stroke 13:106–109PubMedCrossRefGoogle Scholar
  5. 5.
    Knüpling R, Fuchs EC, Stoltenburg G et al. (1979) Chronic and acute transtentorial herniation with tumors of the posterior cranial fossa. Neurochirurgia 22:9–17PubMedGoogle Scholar
  6. 6.
    Little JR, Tubman DE, Ethier R (1978) Cerebellar hemorrhage in adults. Diagnosis by computerized tomography. J Neurosurg 48:575–579PubMedCrossRefGoogle Scholar
  7. 7.
    Lui TN, Fairholm DJ, Shu TF et al. (1985) Surgical treatment of spontaneous cerebellar hemorrhage. Surg Neurol 23:555–558PubMedCrossRefGoogle Scholar
  8. 8.
    McKissock W, Richardson A, Walsh L (1960) Spontaneous cerebellar haemorrhage. A study of 34 consecutive cases treated surgically. Brain 83:1–9CrossRefGoogle Scholar
  9. 9.
    Mitchell N, Angrist A (1942) Spontaneous cerebellar hemorrhage: Report of 15 cases. Am J Pathol 18:235–253Google Scholar
  10. 10.
    Mohadjer M, Braus DF, Myers A et al. (1992) CT stereotactic fibrinolysis of spontaneous intracerebral hematomas. Neurosurg Rev 15:105–110PubMedCrossRefGoogle Scholar
  11. 11.
    Ott KH, Kase CS, Ojemann RG et al. (1974) Cerebellar hemorrhage: diagnosis and treatment. A review of 56 cases. Arch Neurol 31:160–167PubMedCrossRefGoogle Scholar
  12. 12.
    Richardson AE (1972) Spontaneous cerebellar hemorrhage. In: Vinken PJ, Bruyn GW, (eds) Handbook of clinical neurology. Elsevier, New York, pp 54–67Google Scholar
  13. 13.
    Salazar J, Vaquero J, Martinez P et al. (1986) Clinical and CT scan assessment of benign versus fatal spontaneous cerebellar haematomas. Acta Neurochir 79:80–86CrossRefGoogle Scholar
  14. 14.
    Shenkin HA, Zavala M (1982) Cerebellar strokes: mortality, surgical indications and results of ventricular drainage. Lancet 2:429–432PubMedCrossRefGoogle Scholar
  15. 15.
    Taneda M, Hayakawa T, Mogami H (1987) Primary cerebellar hemorrhage. Quadrigeminal cistern obliteration on CT scans as a predictor of outcome. J Neurosurg 67:545–552PubMedCrossRefGoogle Scholar
  16. 16.
    Waidhauser E, Hamburger C, Marguth F (1990) Neurosurgical management of cerebellar hemorrhage. Neurosurg Rev 13:211–217PubMedCrossRefGoogle Scholar
  17. 17.
    Weisberg LA (1986) Acute cerebellar hemorrhage and CT evidence of tight posterior fossa. Neurology 36:858–860PubMedGoogle Scholar
  18. 18.
    Zieger A, Vonofakos D, Steudel WI (1984) Nontraumatic intracerebellar hematomas: prognostic value of volumetric evaluation by computed tomography. Surg Neurol 22:491–494PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • D. Rosenthal
    • 1
  • G. Marquardt
    • 1
  • T. Sievert
    • 1
  1. 1.Klinik für NeurochirurgieJohann-Wolfgang-Goethe-UniversitätFrankfurt am Main 71Germany

Personalised recommendations