Emorragie cerebellari spontanee. Considerazioni clinico-terapeutiche

Fabrizio Puzzilli, Andrea Ruggeri, Maurizio Salvati, Giovanni Rocchi, Roberte Delfini

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Thirthy-one patients with spontaneous cerebellar haemorrhage (SCH) were treated between 1990 and 1995 in the Neuro-traumatology Division of University of Rome "La Sapienza". Twenty-five of them were operated on because of their neurological conditions (GCS score) on admission, the localization, diameter of the haematoma, presence of a tight posterior cranial fossa, hypertensive hydrocephalus, involvement of the posterior cysterns of the skull base, and progressive involvement of the brain stem. Six patients with GCS score ≥ 13, haematoma <30 mm in diameter and a posterior cranial fossa of normal dimensions, were treated conservatively. Two of these were admitted in areflexic coma (GCS score = 3). The mortality rate within the first month was 22.5% (7 pts). The 12 months follow-up involved 24 of the 25 surgically treated patients and showed that: 6 patients (66.6%) with KPS ≥ 90 were completely free of deficits; 5 (20.8%) with KPS 60-80 needed occasional assistance during normal activities; 3 (12.5%) were unable to carry out their daily activities.

Original languageItalian
JournalNuova Rivista di Neurologia
Issue number2
Publication statusPublished - 1997

ASJC Scopus subject areas

  • Clinical Neurology

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