Traumatic intracerebellar hematomas

E. Pozzati, C. Grossi, R. Padovani

Research output: Contribution to journalArticlepeer-review

Abstract

Seven patients with 'isolated' traumatic intracerebellar hematomas due to closed head injuries are presented. Computerized tomography parameters useful in the correct management of these hematomas include: location (hemisphere or midline), size, and appearance of the posterior fossa cisterns (intact or obliterated). Three patients with hemispheric hematomas were treated conservatively and recovered. One patient with a midline hematoma was managed conservatively and died. Three hematomas (one hemispheric and two midline) were operated on. The immediate results of surgery were good, but two patients died later due to medical complications. The results of this study support the concept that large hematomas (3 cm or greater) generally need surgery and that hemispheric hematomas of limited size (less than 3 cm) may be treated conservatively. The clinical course and prognosis of midline hematomas is grave, and evacuation of accessible hematomas should be considered early in the course of the disease.

Original languageEnglish
Pages (from-to)691-694
Number of pages4
JournalJournal of Neurosurgery
Volume56
Issue number5
Publication statusPublished - 1982

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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