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Management of Cerebellar Infarction With Mass Effect
The Neurologist 6:172-176, Koh, M. et al, 2000
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Article Abstract
Cerebellar infarction with mass effect (pseudotumoral cerebellar infarction) has a higher prevalence than previously noted. Not all of these patients require surgical intervention. Surgery is likely to be beneficial for patients who deteriorate clinically and who have radiologic evidence of hydrocephalus or brainstem compression. Bias in patient selection has not clarified the issue of isolated ventricular drainage or suboccipital craniotomy in these patients. Half of the obtunded or comatose patients who had cerebellar infarction and were treated either by isolated ventricular drainage of suboccipital craniotomy made meaningful recovery. Surgical intervention is indicated for patients who have cerebellar infarction with mass effect and who have deteriorated clinically. Either isolated ventricular drainage or suboccipital craniotomy may be beneficial for these patients.
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algorithm
brainstem,deformity of
CAT scan,abnormal
cerebellar infarction
cerebrovascular accident
cerebrovascular accident,acute management of
cerebrovascular accident,surgical treatment of
coma
craniectomy,decompressive
emergencies,neurologic
prognosis
shunt procedure,ventricular
suboccipital decompression
treatment of neurologic disorder
ventriculostomy
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