[Spontaneous cerebellar haematomas--results of surgical treatment].
The authors analysed 21 patients with spontaneous cerebellar haematomas. Spontaneous cerebellar haematomas constitute 10% of all intracerebellar haematomas. Hypertension was the most frequent cause of haemorrhage (85.7%). Vascular malformation was disclosed only in 2 cases. All patients were treated surgically. External ventricular drainage was applied in 5 patients, in 7 cases the haematoma was removed and in 9 cases both methods were applied. The results of the treatment were evaluated with regard to: localization of the haematoma in the cerebellum, its volume, presence of the intraventricular haemorrhage and the hydrocephalus coexistence, the degree of visibility of the brainstem cisterns and the patient's state according to the GCS scale. The evaluation was the basis to formulate a 14-point scale which could be useful in patient's treatment and prognosis. [table: see text] The 1st degree patients should undergo conservative treatment, those classified as the 2nd degree patients could potentially undergo surgical treatment, and those who qualify as 3rd degree patients absolutely require surgical treatment.
Bayassi
Safwan
S
Oddziału Neurochirurgii Wojewódzkiego Szpitala Zespolonego w Elblagu.
Kopczyński
Stefan
S
Derenda
Marek
M
Siwiecki
Tomasz
T
D000368:Aged; D002543:Cerebral Hemorrhage / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D005260:Female; D015600:Glasgow Coma Scale; D006406:Hematoma / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012720:Severity of Illness Index; D015996:Survival Rate; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome