title: Management of 50 spontaneous cerebellar haemorrhages. Importance of obstructive hydrocephalus.
abstract: The records of 50 cerebellar haemorrhages were reviewed retrospectively. In this series the most important factor for clinical development, management and mortality was the presence of obstructive hydrocephalus (p < 0.01). Slowly progressive (type 1) and abruptly developing (type 2) deterioration of consciousness was significantly related to high mortality; this holds also true for the combination of hydrocephalus with an haematoma diameter > 3 cm. Larger haematomas had a higher mortality but this relation, analyzed alone, did not reach statistical significance (p > 0.05). In cases with hydrocephalus mortality could significantly be reduced by surgical evacuation of the haematoma (p < 0.01). The treatment of cerebellar haemorrhages must be directed at resolving obstructive hydrocephalus.
authors.affiliation: Department of Surgery, University Hospital José de San Martín, University of Buenos Aires, School of Medicine, Argentina.
authors.forename: J J
authors.initials: JJ
authors.lastname: Mezzadri
authors.forename: J M
authors.initials: JM
authors.lastname: Otero
authors.forename: C A
authors.initials: CA
authors.lastname: Ottino
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002526:Cerebellar Diseases / Q000401:mortality / Q000601:surgery*; D002543:Cerebral Hemorrhage / Q000401:mortality / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006849:Hydrocephalus / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000401:mortality; D012189:Retrospective Studies; D015996:Survival Rate