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Journal of Korean Neurosurgical Society 2006;40(4): 234-238.
Outcomes in the Management of Spontaneous Cerebellar Hemorrhage.
Kang Seok Moon, Hyung Ki Park, Seok Mann Yoon, Hack Gun Bae, Il Gyu Yun, Soon Kwan Choi
1Department of Neurosurgery, College of Medicine, Soonchunhyang University, Seoul, Korea. phk007@hosp.sch.ac.kr
2Department of Neurosurgery, College of Medicine, Soonchunhyang University, Cheonan, Korea.
The operative indications on cerebellar hemorrhage have been controversial especially when the patient condition is grave. Therefore we investigated whether it can be justifiable if we perform the surgery in poor clinical grade.
Clinical records and computerized tomography(CT) films of the 89 patients, who were undergone hospital treatment due to spontaneous cerebellar hemorrhage between May 1997 and May 2004, were retrospectively researched.
The study population consisted of 36 males and 53 female patients. The mean age was 65years (range 23~89). As a result of treatment, the patients, whose Glasgow coma scale(GCS) score were higher, showed better outcomes (p=0.001). 13 patients (14.6%) were below 5 in GCS score and 10 patients of these were operated. Among 10 patients, 4 patients (40%) showed good outcome and 5 patients (50%) had been dead. 3 patients (60%) of these dead patients had the findings of intraventricular hemorrhage, fourth ventricular obliteration and hydrocephalus in CT scan.
This study suggests that operation may be justifiable in clinically poor grade patient with spontaneous intra cerebellar hemorrhage.
Key Words: Spontaneous cerebellar hemorrhage; Glasgow coma scale; Glasgow outcome scale; Computerized tomographic finding
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