Long-term outcome after spontaneous cerebellar haemorrhage.
We analysed the clinical and radiological findings and the long-term outcome after 49 +/- 34 months in 75 patients (42 men, aged 67 +/- 11 years) with spontaneous cerebellar haemorrhage (SCH). At the follow-up examination, 36 patients had died. Outcome was excellent [Rankin Scale (RS) score 0 + 1] in 22 survivors, 4 patients were moderately (RS score 2 + 3) and 13 patients were severely disabled (RS score 4 + 5). Prognostic factors are haematoma volume, intubation, hydrocephalus and clinical signs of brainstem involvement. Of the 28 surgically treated patients, outcome was favourable (RS score 0 - 2) in 4 patients only, 6 were severely disabled (RS score 3 - 6) and 18 patients had died. We conclude that the long-term outcome after SCH is frequently favourable. Because patients who were surgically treated had less favourable clinical and radiological findings, a good long-term outcome was rarely present in this group.
Department of Neurology, University of Heidelberg, Heidelberg, Germany.
Simone
S
Dolderer
Kai
K
Kallenberg
Alfred
A
Aschoff
Stefan
S
Schwab
Stefan
S
Schwarz
D000368:Aged; D000369:Aged, 80 and over; D002543:Cerebral Hemorrhage / Q000150:complications / Q000401:mortality / Q000628:therapy*; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D006973:Hypertension / Q000209:etiology; D008137:Longitudinal Studies; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D011379:Prognosis; D011446:Prospective Studies; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome