Cerebellar haemorrhage: management and prognosis.
Of 26 patients with CT confirmed intracerebellar haematoma, 17 had ventricular drainage performed and 7 patients had the haematoma evacuated. Eleven patients died. Mortality was clearly related to state of consciousness. Seven out of 8 non-comatose patients survived but 10 out of 18 comatose patients died. As there was no incidence of deterioration immediately following placement of a ventricular drainage, the actual risk of upward transtentorial herniation seemed low. Absence of evoked potentials in 6 patients accurately predicted a fatal outcome but normal SEP and BAEP were of lesser value for predicting survival.
Firsching
R
R
Department of Neurosurgery, University of Cologne, Fed. Rep. of Germany.
Huber
M
M
Frowein
R A
RA
D000368:Aged; D002526:Cerebellar Diseases / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D002543:Cerebral Hemorrhage / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D002552:Cerebral Ventricles / Q000601:surgery; D004322:Drainage; D016057:Evoked Potentials, Auditory, Brain Stem / Q000502:physiology; D005073:Evoked Potentials, Somatosensory / Q000502:physiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D013997:Time Factors