Cerebellar hemorrhage treatment
Owing to the narrow space, however, even a small amount of cerebellar hemorrhage can compress the brainstem, resulting in rapid deterioration of clinical symptoms, leading to dangerous consequences 1) 2).
For that reason, surgical treatments are more often necessary in cases of cerebellar hemorrhage compared to supratentorial intracerebral hematomas 3).
To decrease mortality and morbidity rates, a rapid diagnosis must be made and adequate treatment administered immediately. However, compared to supratentorial lesions, the risk factors related to clinical and radiological findings are not well established in cases of cerebellar hemorrhage.
Surgery
1)
St Louis EK, Wijdicks EF, Li H, Atkinson JD. Predictors of poor outcome in
patients with a spontaneous cerebellar hematoma. Can J Neurol Sci. 2000
Feb;27(1):32-6. PubMed PMID: 10676585.
2)
Yanaka K, Meguro K, Fujita K, Narushima K, Nose T. Immediate surgery reduces
mortality in deeply comatose patients with spontaneous cerebellar hemorrhage.
Neurol Med Chir (Tokyo). 2000 Jun;40(6):295-9; discussion 299-300. PubMed PMID:
10892265.
3)
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.