Surgical Aspects in Treatment of Cerebellar Infarction

  • R. Laumer
  • F. Erbguth
  • P. Nomikos
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 22)


Supratentorial cerebral infarction is usually treated medically, but in some cases ventricular drainage is necessary. Regarding infratentorial cerebellar infarction a more aggressive treatment including decompression of the posterior fossa is currently under discussion. There have been a number of case reports suggesting surgical decompression as the treatment of choice in cerebellar infarction [1, 3, 5, 6]. The advantage of early operative treatment was first described in the 1950s [4, 8]; however, recent investigations seem to overestimate the benefit of aggressive therapy, based on isolated case reports with lack of new information. The main problem in evaluating the benefit of surgical decompression arises primarily from patient selection and timing of the surgical procedure. The case reports presented here demonstrate that so far there is no standard therapy for optimal treatment of cerebellar infarction. Outcome was assessed in terms of the modified Rankin scale [9] (the original Rankin scale did not include grades 0 and 6):
  1. Grade 0:

    No symptoms at all

  2. Grade 1:

    No significant disability despite symptoms: able to carry out usual duties and activities

  3. Grade 2:

    Slight disability: unable to carry out all previous activities but able to look after own affairs without assistance

  4. Grade 3:

    Moderate disability: requiring some help but able to walk without assistance

  5. Grade 4:

    Moderately severe disability: unable to walk without assistance and unable to attend to own bodily needs without assistance

  6. Grade 5:

    Severe disability: bedridden, incontinent, and requiring constant nursing care and attention

  7. Grade 6:




Posterior Fossa Surgical Decompression Ventricular Drainage Cranial Compute Tomography Isolate Case Report 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1994

Authors and Affiliations

  • R. Laumer
    • 1
  • F. Erbguth
    • 2
  • P. Nomikos
    • 1
  1. 1.Neurochirurgische KlinikUniversität Erlangen-NürnbergErlangenGermany
  2. 2.Neurologische KlinikUniversität Erlangen-NürnbergErlangenGermany

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