Clinical outcome following surgical treatment for bilateral cerebellar infarction
2011 (English)In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 123, no 5, 345-351 p.Article in journal (Refereed) Published
Objectives - To analyze the initial clinical and radiological findings, the surgical treatment, and the clinical outcome following surgical decompression in patients with space-occupying bilateral cerebellar infarction. Materials and Methods - Ten patients with expansive bilateral cerebellar infarction and decreased level of consciousness were operated with suboccipital craniectomy, removal of the infarcted tissue, and placement of external ventricular drainage. Long-term outcome was assessed using the modified Rankin scale (mRS). Results - Mean Glasgow coma scale (GCS) score before surgery was 8.9 +/- 3.3 and improved to 12.6 +/- 3.6 at discharge. At the long-term follow-up (median 57.6 months), six patients had a favorable outcome (mRS 1.3 +/- 0.8). Four patients, all with an associated brain stem infarct, had a poor outcome. Conclusions - In the absence of brain stem infarcts, surgical treatment resulted in a favorable clinical outcome and should be considered a treatment option for patients with expansive bilateral cerebellar infarction.
Place, publisher, year, edition, pages
2011. Vol. 123, no 5, 345-351 p.
cerebellar infarction, bilateral, external ventricular drainage, neurointensive care, stroke, surgical decompression
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-151915DOI: 10.1111/j.1600-0404.2010.01404.xISI: 000288755800007PubMedID: 20636449OAI: oai:DiVA.org:uu-151915DiVA: diva2:411607