Cerebellar hemorrhage outcome [Neurosurgery Wiki]

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====== Cerebellar hemorrhage outcome ======

{{rss>https://pubmed.ncbi.nlm.nih.gov/rss/search/1pmF_x0TvNeK2dkU2UdGftvFtwc6fFcB6MLHwfbwZegEaFyQrT/?limit=15&utm_campaign=pubmed-2&fc=20240328040051}}


Pure [[cerebellar hemorrhage]] of traumatic etiology, without associated posterior fossa sub- or [[epidural hematoma]]s is a rare entity and has been reported to have a poor outcome. 

The mortality rate of [[spontaneous cerebellar hemorrhage]] (SCH) is generally higher than other types of intracranial hemorrhage. Recently, the increased survey rate of CH has come from improved clinical imaging and earlier surgical intervention. Hence, the predictors of intermittent- (1 to 6 months) and long-term (> 6 months) mortality are clinically practical use for educational and therapeutic decisions.

Patients with radiological brainstem compression were about 23 times more likely to die within 6 months after CH than those without radiological brainstem compression
((Chang CY, Lin CY, Chen LC, Sun CH, Li TY, Tsai TH, Chang ST, Wu YT. The
Predictor of Mortality within Six-Months in Patients with Spontaneous Cerebellar 
Hemorrhage: A Retrospective Study. PLoS One. 2015 Jul 17;10(7):e0132975. doi:
10.1371/journal.pone.0132975. eCollection 2015. PubMed PMID: 26186721; PubMed
Central PMCID: PMC4506143.
)).

Cerebellar hemorrhages have higher mortality and morbidity rates
((Wu YT, Li TY, Chiang SL, Chu HY, Chang ST, Chen LC. Predictors of first-week
mortality in patients with acute spontaneous cerebellar hemorrhage. Cerebellum.
2013 Apr;12(2):165-70. doi: 10.1007/s12311-012-0410-6. PubMed PMID: 22907124.
)).

Lower platelet count (PC) is the independent predictor for poor early outcome in patients with spontaneous CH
((Lin CY, Chang CY, Sun CH, Li TY, Chen LC, Chang ST, Wu YT. Platelet count and 
early outcome in patients with spontaneous cerebellar hemorrhage: a retrospective
study. PLoS One. 2015 Mar 17;10(3):e0119109. doi: 10.1371/journal.pone.0119109.
eCollection 2015. PubMed PMID: 25781880; PubMed Central PMCID: PMC4364557.
)).