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KMID : 0390119940340020183
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Journal of Pusan Medical College
1994 Volume.34 No. 2 p.183 ~ p.192
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Spontaneous Cerebellar Hematoma
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Abstract
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Initially spontaneous cerebellar hemorrhage (hematoma) as a cause of death was presented by Sedillot. and subsequently numerous reports of spontaneous cerebellar hematomas have appeared in many counties, Sine the new development of medical
procedures,
such as CT scan. MRI and techniques, diagnosis was made early and exactly, and useful therapy with conservative and surgical methods was recently established. The author studied spontaneous cerebellar hematomas with various methods in Pusan
National
University Hospital.
@ES The results were as the follows:
@EN 1. The hematoma was mainly presented in cases after fifties, and male and female ratio was 8 : 19.
2. Diagnosis was usually made within 24 hours.
3. Main symptoms and signs were headache and vomiting, and the disturbance of consciousness and cerebellar signs were presented.
4. Grades of consciousness at admission mainly were Grade 1, 2, and 3, GCS at admission was below 7 in 6 cases, 3-12 in 6 cases, and above 13 in 15 cases.
5. The causes of intracerebellar hematoma mainly were hypertension, and next unknown cases.
6. Usually the amounts of hematoma were 10-20 cc.
7. The locations of hematoma were left hemisphere in 13 cases, vermis in 3 cases, right hemisphere in 5 cases, and vertex and hemisphere in 6 cases.
8. In non operated cases, cases with disturbanced consciousness had poor prognosis, but hypertension did not correlated with prognosis.
9. Th obtained operations were suboccipital craniectomy and/or external ventricular drainage (ventriculostomy). In operated cases Glasgow outcome scale was correlated with Glasgow outcome scale. Cases with of hematoma in vertex and hemisphere
relatively had poor prognosis, but hypertension did not correlate with prognosis.
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