Surgical management of acute cerebellar infarction
| Autor: | A Punzo, F. P. Bernini, F.A. Cioffi, R D'Avanzo |
|---|---|
| Přispěvatelé: | Cioffi, Fa, Bernini, Fp, Punzo, A, D'Avanzo, Raffaele |
| Rok vydání: | 1985 |
| Předmět: |
Adult
Male medicine.medical_specialty Intracranial Pressure Infarction Blurred vision Cerebellum Vertebrobasilar Insufficiency medicine Humans Aged Intracranial pressure Neuroradiology medicine.diagnostic_test business.industry Cerebral infarction Arteries Cerebral Infarction Middle Aged medicine.disease Combined Modality Therapy Cerebrospinal Fluid Shunts Cerebral Angiography Hydrocephalus Anesthesia Female Surgery Neurology (clinical) Neurosurgery medicine.symptom Tomography X-Ray Computed business Cerebral angiography |
| Zdroj: | Acta Neurochirurgica. 74:105-112 |
| ISSN: | 0942-0940 0001-6268 |
| Popis: | After reviewing the literature, a personal series of 10 adult patients with cerebellar infarction diagnosed by CT scan is described. The clinical picture in young adult men is characterized by rapid onset of headache, vomiting, vertigo, ataxia and blurred vision. After this sudden onset the patients may present a stable course or a rapid or delayed onset of brain stem compression, revealed by impairment of consciousness. CT scan is the diagnostic method of choice. The correlation between angiographic and CT localization of the infarction is not good. For therapy the following policy is suggested: in alert and clinically stable patients: medical treatment (mannitol, glycerol, dexamethason), ICP and serial CT monitoring; in alert patients with hydrocephalus or mass effect: medical treatment and monitoring as mentioned before; ventricular drainage if ICP surpasses 350 mm H2O; in patients with impaired consciousness and hydrocephalus or mass effect: immediate ventricular drainage. If it is not followed by prompt improvement of the level of consciousness, an emergency suboccipital craniectomy with removal of the infarcted tissue should be done. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink