Department of Neurosurgery of the general hospital of Fort de France in Martinique

Schertz M, Mehdaoui H, Hamlat A, Piotin M, Banydeen R, Mejdoubi M. Incidence and Mortality of Spontaneous Subarachnoid Hemorrhage in Martinique. PLoS One. 2016 May 23;11(5):e0155945. doi: 10.1371/journal.pone.0155945. PMID: 27213614; PMCID: PMC4877008.

Mostofi retrospectively analyzed the clinical features, and imaging studies of 53 patients with massive cerebellar infarction who had been treated by surgery or conservative treatment between January 2000 and December 2008 at the Department of Neurosurgery of the general hospital of Fort de France in Martinique. A total of 25 patients underwent surgery and 28 were treated medically.

Results: The results show significantly better outcomes in the operated patients compared with the patients treated medically; Operated comatose patients demonstrated significant improvement in their Glasgow coma score (GCS) score with only two deaths. Whereas, nonoperated comatose patients lost points in their GCS with four deaths.

Conclusion: The results of our study suggest that surgery may be an effective procedure and quite helpful for MICI in the majority of cases ¹⁾.