Neurology Specific Literature Search   
 
[home][thesaurus]
    
Click Here to return To Results

 

Neurosurgical Management of Cerebellar Haematoma and Infarct
JNNP 59:287-292, Mathew,P.,et al, 1995
See this aricle in Pubmed

Article Abstract
The clinical features,treatment,and outcome were reviewed for 48 patients with a haematoma and 71 patients with an infarct in the posterior fossas in order to develop a rational plan of management.Clinical features alone were insufficient to make a diagnosis in about half of the series.patients with a haematoma were referred more quickly to the neurosurgical unit,were more often in coma,and more often had CT evidence of brain stem compression and acute hydrocephalus.Ultimately,75%of the patients with a haematoma required an operation.By contrast,most patients with an infarct were managed successfully conservatively.Early surgical management in both cerebellar haemorrhage and infarct(either external ventricular drainage or evacuation of the lesion),associated with early presentation and CT signs of brain stem compression and acute hydrocephalus,let to a good outcome in most patients.Of the patients with cerebellar haematoma initially treated by external drainage,over half subsequently required craniectomy and evacuation of the lesion;but,in some cases,this failed to reverse the deterioration.In patients with a cerebellar infarct,external drainage was more often successful.The guidelines,findings,and recommendations for future management of patients with posterior fossa stroke are discussed.
 
Related Tags
(click to filter results - removes previous filter)

algorithm
CAT scan
CAT scan,abnormal
cerebellar hemorrhage
cerebellar infarction
cerebrovascular accident
cerebrovascular accident,acute management of
cerebrovascular accident,clinical diagnosis
cerebrovascular accident,prognosis in
cerebrovascular accident,surgical treatment of
coma
hydrocephalus
prognosis
review article
treatment of neurologic disorder

Click Here to return To Results