Management of 50 spontaneous cerebellar haemorrhages. Importance of obstructive hydrocephalus.

Autor: Mezzadri JJ; Department of Surgery, University Hospital José de San Martín, University of Buenos Aires, School of Medicine, Argentina., Otero JM, Ottino CA
Jazyk: angličtina
Zdroj: Acta neurochirurgica [Acta Neurochir (Wien)] 1993; Vol. 122 (1-2), pp. 39-44.
DOI: 10.1007/BF01446984
Abstrakt: 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.
Databáze: MEDLINE