caa a22 4500 445328959 CHVBK 20180317142731.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s10143-010-0279-0 doi (NATIONALLICENCE)springer-10.1007/s10143-010-0279-0 Spontaneous cerebellar hemorrhage—experience with 57 surgically treated patients and review of the literature [Elektronische Daten] [Philipp Dammann, Siamak Asgari, Hischam Bassiouni, Thomas Gasser, Vassilis Panagiotopoulos, Elke Gizewski, Dietmar Stolke, Ulrich Sure, I. Sandalcioglu] The treatment of spontaneous cerebellar hemorrhage is still discussed controversially. We analyzed a series of 57 patients who underwent surgical evacuation of a cerebellar hematoma at our department. Preoperative clinical and radiological parameters were assessed and correlated with the clinical outcome in order to identify factors with impact on outcome. The overall clinical outcome according to the Glasgow Outcome Scale at the last follow-up was good (GOS 4-5) in 27 patients (47%) and poor (GOS 2-3) in 16 patients (28%). Fourteen patients (25%) died. The initial neurological condition and the level of consciousness proved to be significant factors determining clinical outcome (p = 0.0032 and p = 0.0001, respectively). Among radiological parameters, brain stem compression and a tight posterior fossa solely showed to be predictive for clinical outcome (p = 0.0113 and p = 0.0167, respectively). Overall, our results emphasize the predictive impact of the initial neurological condition on clinical outcome confirming the grave outcome of patients in initially poor state as reported in previous studies. The hematoma size solely, in contrast to previous observations, showed not to be predictive for clinical outcome. Especially for the still disputed treatment of patients in good initial neurological condition, a suggestion can be derived from the present study. Based on the excellent outcome of patients with good initial clinical condition undergoing surgery due to secondary deterioration, we do not recommend preventive evacuation of a cerebellar hematoma in these patients. Springer-Verlag, 2010 Cerebellar hemorrhage nationallicence Surgical management nationallicence Posterior fossa nationallicence ICH nationallicence Dammann Philipp Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany aut Asgari Siamak Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany aut Bassiouni Hischam Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany aut Gasser Thomas Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany aut Panagiotopoulos Vassilis Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany aut Gizewski Elke Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany aut Stolke Dietmar Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany aut Sure Ulrich Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany aut Sandalcioglu I. Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany aut Neurosurgical Review Springer-Verlag 34/1(2011-01-01), 77-86 0344-5607 34:1<77 2011 34 10143 https://doi.org/10.1007/s10143-010-0279-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10143-010-0279-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dammann Philipp Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany aut NATIONALLICENCE 700 1- Asgari Siamak Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany aut NATIONALLICENCE 700 1- Bassiouni Hischam Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany aut NATIONALLICENCE 700 1- Gasser Thomas Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany aut NATIONALLICENCE 700 1- Panagiotopoulos Vassilis Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany aut NATIONALLICENCE 700 1- Gizewski Elke Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany aut NATIONALLICENCE 700 1- Stolke Dietmar Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany aut NATIONALLICENCE 700 1- Sure Ulrich Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany aut NATIONALLICENCE 700 1- Sandalcioglu I. Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany aut NATIONALLICENCE 773 0- Neurosurgical Review Springer-Verlag 34/1(2011-01-01), 77-86 0344-5607 34:1<77 2011 34 10143 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer