title: Long-term outcome and prognostic factors after spontaneous cerebellar hemorrhage.
abstract: Cerebellar hemorrhage is the least common type of intracranial hemorrhage (ICH) encountered in clinical practice, and clinical data concerning the long-term outcomes are limited. This study aimed to investigate the long-term outcomes following spontaneous cerebellar hemorrhage in a cohort of Chinese patients. This single-center observational study was carried out between 1996 and 2010 and included 72 consecutive Chinese patients with a first spontaneous cerebellar hemorrhage. Of 440 patients with primary ICH, 72 (16.4%) had primary cerebellar hemorrhage. The mean age was 67.5 ± 12.3 years and patients were predominantly male (54%). The 30-day mortality was 16.7% with Glasgow coma scale ≤ 8 as the only predictor. At 6 months, 56.7% of patients who survived the first 30 days had a persistently poor functional status with modified Rankin scale score >2. After a mean follow-up of 4.7 years, 3.3% of patients had recurrent ICH, a recurrence rate of 7.3 per 1,000 patient-years. Ischemic stroke occurred in 12% of patients, an incidence of 25.5 per 1,000 patient-years. This study provided data on the long-term outcome of post-cerebellar hemorrhage in Chinese patients.
authors.affiliation: Cardiology Division, Department of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, SAR, China.
authors.forename: Vincent
authors.initials: V
authors.lastname: Pong
authors.forename: Koon-Ho
authors.initials: KH
authors.lastname: Chan
authors.forename: Boon-Hor
authors.initials: BH
authors.lastname: Chong
authors.forename: Wai-Man
authors.initials: WM
authors.lastname: Lui
authors.forename: Gilberto Ka-Kit
authors.initials: GK
authors.lastname: Leung
authors.forename: Hung-Fat
authors.initials: HF
authors.lastname: Tse
authors.forename: Jenny Kan-Suen
authors.initials: JK
authors.lastname: Pu
authors.forename: Chung-Wah
authors.initials: CW
authors.lastname: Siu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002531:Cerebellum / Q000503:physiopathology*; D002543:Cerebral Hemorrhage / Q000150:complications / Q000401:mortality / Q000628:therapy*; D002681:China; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012307:Risk Factors; D055502:Secondary Prevention; D020521:Stroke / Q000209:etiology / Q000401:mortality / Q000628:therapy; D013997:Time Factors; D016896:Treatment Outcome