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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.17 No.3
- 발행연도
- 2015.1
- 수록면
- 185 - 193 (9page)
이용수
초록· 키워드
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Objective:Spontaneous cerebellar hemorrhage (SCH) is less common than supratentorial intracerebral hemorrhage. This study investigated the treatment of SCH and the relation between its clinical and radiological manifestation and outcome. Materials and Methods:We presented a SCH management protocol in our institute and analyzed the clinical and radiological findings in 41 SCH patients. The outcomes of each method (surgery and conservative treatment) were compared among patients with initial Glasgow Coma Scale (GCS) score of 9-13 and hematoma volume greater than 10 mL. Results:Two (4.9%), 16 (39%), and 23 (56.1%) patients had an initial GCS score of 3-8, with 3-8, 9-13, and 14-15, respectively. Initial GCS score showed significant correlation with Glasgow Outcome Scale (GOS) score (p = 0.005). The mean largest hematoma diameter was 3.2 ± 1.5 cm, and the mean volume was 11.0 ± 11.5 mL. Both of them showed significant inverse correlation with GOS score (p < 0.001). Among patients with an initial GCS score of 9-13 and hematoma volumes greater than 10 mL, 3 (50%) had good outcome and 3 (50%) had poor outcome in the surgical, and all of those in the conservative treatment group had poor outcomes. The outcome distribution differed significantly in the surgical and conservative groups (p = 0.030). Conclusion : Initial GCS score and largest hematoma diameter and volume on brain computed tomography are important determinants of outcome in SCH patients. The surgery group showed better outcome than the conservative treatment group among those with an intermediate neurological status and large hematomas.
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참고문헌 (26)
참고문헌 신청
Cho SM / 1997 / Predictors of outcome of spontaneous cerebellar hemorrhage / J Korean Neurosurg Soc 26(10):1395~1400
Cohen ZR / 2002 / Management and outcome of non-traumatic cerebellar haemorrhage / Cerebrovasc Dis 14(3-4):207~213
Dahdaleh NS / 2012 / Clinical and radiographic predictors of neurological outcome following posterior fossa decompression for spontaneous cerebellar hemorrhage / J Clin Neurosci 19(9):1236~1241
Dammann P / 2011 / Spontaneous cerebellar hemorrhage--experience with 57 surgically treated patients and review of the literature / Neurosurg Rev 34(1):77~86
Davis SM / 2006 / Hematoma growth is a determinant of mortality and poor outcome after intracerebral hemorrhage / Neurology 66(8):1175~1181
Cohen ZR / 2002 / Management and outcome of non-traumatic cerebellar haemorrhage / Cerebrovasc Dis 14(3-4):207~213
Dahdaleh NS / 2012 / Clinical and radiographic predictors of neurological outcome following posterior fossa decompression for spontaneous cerebellar hemorrhage / J Clin Neurosci 19(9):1236~1241
Dammann P / 2011 / Spontaneous cerebellar hemorrhage--experience with 57 surgically treated patients and review of the literature / Neurosurg Rev 34(1):77~86
Davis SM / 2006 / Hematoma growth is a determinant of mortality and poor outcome after intracerebral hemorrhage / Neurology 66(8):1175~1181
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