Traumatic Intracerebellar Hemorrhage: Clinicoradiological Analysis of 81 Patients
| Autor: | L. Cristofori, Filippo Flavio Angileri, Massimo Scerrati, Fulvio Tartara, F Massaro, Franco Servadei, Francesco Tomasello, G L Brambilla, Eugenio Pozzati, Domenico D'Avella, Giustino Tomei, Roberto Delfini |
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| Rok vydání: | 2002 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Central nervous system disease Hematoma medicine Humans Glasgow Coma Scale Subdural space Child Brain Concussion Aged Retrospective Studies Aged 80 and over Coma business.industry Vascular disease Brain Hemorrhage Traumatic Head injury Middle Aged Prognosis medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Intracranial Embolism Italy Child Preschool Concomitant Female Neurology (clinical) medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | Neurosurgery. 50:16-27 |
| ISSN: | 1524-4040 0148-396X |
| DOI: | 10.1097/00006123-200201000-00004 |
| Popis: | OBJECTIVE We report 81 patients with a traumatic intracerebellar hemorrhagic contusion or hematoma managed between 1996 and 1998 at 13 Italian neurosurgical centers. METHODS Each center provided data about patients' clinicoradiological findings, management, and outcomes, which were retrospectively reviewed. RESULTS A poor result occurred in 36 patients (44.4%). Forty-five patients (55.6%) had favorable results. For the purpose of data analysis, patients were divided into two groups according to their admission Glasgow Coma Scale (GCS) scores. In Group 1 (39/81 cases; GCS score, ≥8), the outcome was favorable in 95% of cases. In Group 2 (42/81 cases; GCS score, CONCLUSION This study describes clinicoradiological findings and prognostic factors regarding traumatic cerebellar injury. A general consensus emerged from this analysis that a conservative approach can be considered a viable, safe treatment option for noncomatose patients with intracerebellar clots measuring less than or equal to 3 cm, except when associated with other extradural or subdural posterior fossa focal lesions. Also, a general consensus was reached that surgery should be recommended for all patients with clots larger than 3 cm. The pathogenesis, biomechanics, and optimal management criteria of these rare lesions are still unclear, and larger observational studies are necessary. |
| Databáze: | OpenAIRE |
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