Clinical feature and outcome in spontaneous cerebellar hemorrhage : determine treatment strategies

Abstract

Cerebellar hemorrhage may present with a spectrum of clinical manifestations, from a benign course with little to no neurological deficit to a rapidly fatal course with hydrocephalus and brainstem compression. However, controversy remains concerning the management of patients with cerebellar hemorrhage. In this study was to set the criteria for conservative or surgical treatment and factors of poor outcomes. In treating patients with spontaneous cerebellar hemorrhage, initial GCS and CT scan are quite helpful to determine treatment strategies. For the patients whose CT scan shows intraventricular hemorrhage, compression of mesencephalic cistern, and hydrocephalus, intensive therapy is necessary.