Surgical treatment of spontaneous cerebellar hematomas

Conclusions: It was concluded that volume of hematoma and Glasgow coma scale score were the main determinant in the postoperative prognosis of these case

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To present the result of the urgent surgical treatment of spontaneous cerebellar hematoma.

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Key Findings & Data:Study Design: The data of 27 patients with spontaneous cerebellar hematoma were analyzed retrospectively, between January 1995 and October 2003.

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Conclusion & Impact:Conclusions: It was concluded that volume of hematoma and Glasgow coma scale score were the main determinant in the postoperative prognosis of these case

🔬Design:Research Article

📍Scope:2003 Verileri

⚙️Variables:Hematom · Geriyedönük çalışma · Cerrahi işlemler

Abstract

Objective: To present the result of the urgent surgical treatment of spontaneous cerebellar hematoma. Study Design: The data of 27 patients with spontaneous cerebellar hematoma were analyzed retrospectively, between January 1995 and October 2003. The patients were grouped according to computed tomography appereances and Glasgow coma scale score. All cases were operated by suboccipital craniectomy. Volume of hematomas and preoperative Glasgow coma scale scores were compared with postoperative neurologic status. Mean follow-up was 16 months (range 6 to 25 months). Results: 17 patients (%63) were male and the remaining 10 (%27) female. The age of the cases was ranged 42-87, 7 patients who died had two or more general risk factors. Positive correlation was established between preoperative Glasgow coma scale score and postoperative neurologic status (p=0.001). Volume of hematoma which was more than 20 mil-liliter influnced the postoperative result negatively (p<0.01). Conclusions: It was concluded that volume of hematoma and Glasgow coma scale score were the main determinant in the postoperative prognosis of these case

Özet

Amaç: Spontan serebellar hematom olgularında acil cerrahi tedavi sonuçlarımızı sunmaktır. Gereç ve Yöntem: Bu çalışmada Ocak 1995 - Ekim 2003 tarihleri arasında Şişli Etfal Hastanesi Nöroşirurji Kliniğine başvuran ve spontan serebellar hematom tanısı koyulup acil cerrahi uygulanan 27 hasta retrospektif olarak incelendi. Olgular bilgisayarlı tomografi görüntülerine ve Glasgow koma skorlarına göre gruplandınldı. Olguların hepsi suboksipital kraniektomi yaklaşımıyla öpere edildi. Olguların ameliyat sonrası nörolojik muayeneleri ile hematom boyutları ve pre-operatif Glasgow koma skorları istatistiksel olarak karşılaştırıldı. Ortalama takip süresi 16 ay (6-25 ay) idi. Bulgular: Olguların 17si (% 63) erkek, 10'u (%27) kadın olup, yaşları 42 ile 87 arasında değişiyordu. Eksitus olan 7 olgunun hepsinde iki veya daha fazla risk faktörü mevcuttu. Ameliyat, öncesi Glasgow koma skoru ile ameliyat sonrası klinik tablo arasında pozitif yönde ilişki saptandı (p=0,001). Hematom hacminin 20 mililitrenin üzerinde olması da posto-peratif sonucu olumsuz etkiliyordu (p<0.001). Sonuç: Spontan serebellar hematom ile başvuran olgularda hematomun hacmi ve Glasgow koma skorunun ameliyat sonrası prognozda temel belirleyici etkenler olduğu görüldü

Keywords

Hematom Geriyedönük çalışma Cerrahi işlemler operatif Tomografi x-ışınlı bilgisayarlı Glasgow koma skalası Hematoma Retrospective Studies Surgical Procedures Operative Tomography X-Ray Computed Glasgow Coma Scale

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Cite This Article

MÜSLÜMAN, M., ÇAVUŞOĞLU, H., ŞAHİN, Y., CAN, M., KILINÇ, B. M., AYDIN, Y. (2004). Surgical treatment of spontaneous cerebellar hematomas. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 38 - Sayı: 3, 36–43. https://ajindex.com/articles/363625

References (12)

Kobayashi S. Sato A, Kageyama T. Nakamura H, Watanebe Y. Yamaura A: Treatment of hypertensive cerebellar hemorrhage - surgical or conservative management 7 Neurosurgery 34: 246-251,1994
Weisberg [.A: Acute cerebellar hemorrhage and CT evidence of tight posterior fossa.Neurology 36: 858- 860,1986
Malhew P, Teasiiale G, Bannan A, et al: Neurosurgical management of cerebellar hematoma and infarct. J. Neurol. Neurosurg.Psychiatr 59: 287-292,1995
Medrazzi JJM, Otero JM, Ottino CA: Management of 50 spontaneous cerebellar hemorrhages: Importance of hydrocephalus.Acta Neurochir.(Wien) 122: 39-44,1993
Van Loon J, Van Calenbergh F, Coffin J, et al: Controver¬sies in Lhe management of spontaneous cerebellar hemorrhaged consecutive series of 49 cases and review of the lite rat ure. A eta Neurocil ir.( Wien) 122: 187- 193,1993
Tanciia ¡VI, Hayakawa T, Moganni H: Primary cerebellar hemorrhage: Quadrigeminal cistern obliteration on CT scans as a predictor of outcome.J.Ncurosurg.67: 545- 552,19X7
Garcia JH, Ho K: Pathology of hypertensive ar- teriopathy.Neurosnrg.Clin.N AM 3: 497-507, 1992
Brott T, Thalinger 1C Mypertensive as a risk factor for spontaneous intracerebral hemorrhage Stroke M: 1078,1986
Luparello V, Canavero S: Treatment of hypertensive cerebellar hemorrhage-surgical or conservative management ? Neurosurgery 37: 552-553,1995
McKissock W, Richardson A, Walsh L: Spontaneous cerebellar hemorrhaged study of 34 cases treated sur- gicutly.Brain 38: I-9,i960
Donuer E, Loew F, Faubert C, Alesch F, Schaan M: Prog¬nostic factors in the treatment of cerebellar heinorr- hage.Acta Neurochir.(Wien). 131: 59-66,1994
Krillos RW, Tyagi AK, Ross SA et al: Management of spontaneous cerebellar hemalomas;a prospective treat¬ment protocol.Neurosurg. 2001 Dec;49(6): 1378- 1386; discussion 1386-1387.