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KMID : 0378619920090010060
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Baptist Hospital Medical Journal
1992 Volume.9 No. 1 p.60 ~ p.68
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The Prognostic Parameters of Spontaneous Cerebellar Hemorrhage According to Clinical & findings
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여만수
박화성/김상용/이동열
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Abstract
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Generally, the incidence of spontaneous cerebellar hemorrhage is about 16% of all cases of intracerebral hemorrhage, at our hospital 8.4%. Characteristics of spontanous cerebellar hemorrhage included association with high incidence of
hydrocephalus(about 70%), high risk of mortality, and frequent occurrence of hydrocephalus.
We analyzed 52 cases retrospectively using clinical findings. The cases with lower GCS on admission(esp. below 8), presence of hypertension, and brain stem compression signs showed poor prognosis.
By analysis of brain CT findings, the cases with midline, large diameter of hematoma(esp. above 3cm), severe hydrocephalus, associated extended ventricular hemorrhage, effacement or hemorrhage within quadrigeminal cistern, and presence of brain
stem low
density showed poor prognosis.
We concluded that clinical and CT parameters will be used to predict the prognosis of spontaneous cerebellar hemorrhage.
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KEYWORD
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