Treatment of Hypertensive Cerebellar Hemorrhage–Surgical or Conservative Management?
- 1 February 1994
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Neurosurgery
- Vol. 34 (2), 246-251
- https://doi.org/10.1227/00006123-199402000-00006
Abstract
ONE HUNDRED AND one consecutive patients with hypertensive cerebellar hemorrhage were analyzed to determine the criteria for surgery. New criteria based on the patient's Glasgow Coma Scale score at admission and the maximum diameter of the hematoma, as disclosed by computed tomography, are proposed from a retrospective analysis of 52 earlier cases. The criteria are as follows: 1) patients with Glasgow Coma Scale scores of 14 or 15 and with a hematoma of less than 40 mm in maximum diameter are treated conservatively; 2) for the patients with Glasgow Coma Scale scores of 13 or less at admission or with a hematoma measuring 40 mm or more, hematoma evacuation with decompressive suboccipital craniectomy should be a treatment of choice; and 3) for the patient whose brain stem reflexes are entirely lost with flaccid tetraplegia or whose general condition is poor, intensive therapy is not indicated. The validity of these criteria was tested and confirmed in 49 recent cases.Keywords
This publication has 12 references indexed in Scilit:
- Cerebellar hemorrhage: Diagnosis and treatmentSurgical Neurology, 1988
- Surgical Indication of Hypertensive Cerebellar HematomaNeurologia medico-chirurgica, 1987
- Surgical treatment of spontaneous cerebellar hemorrhageSurgical Neurology, 1985
- Acute cerebellar hemorrhage with brainstem compression in contrast with benign cerebellar hemorrhageSurgical Neurology, 1983
- Hypertensive Cerebellar Hemorrhage: Its Symptoms and ManagementNeurologia medico-chirurgica, 1981
- Clinical investigation of the acute cerebrovascular diseaseJapanese Journal of Stroke, 1980
- Cerebellar hemorrhage in adultsJournal of Neurosurgery, 1978
- Acute cerebellar hemorrhageNeurology, 1977
- Cerebellar Hemorrhage: Diagnosis and TreatmentArchives of Neurology, 1974
- ACUTE HYPERTENSIVE CEREBELLAR HEMORRHAGEThe Journal of Nervous and Mental Disease, 1965