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Clinical outcome following surgical treatment for bilateral cerebellar infarction
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Neurosurgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Neurosurgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Neurosurgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Neurosurgery.
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
Abstract [en]

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.
Keyword [en]
cerebellar infarction, bilateral, external ventricular drainage, neurointensive care, stroke, surgical decompression
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-151915DOI: 10.1111/j.1600-0404.2010.01404.xISI: 000288755800007PubMedID: 20636449OAI: oai:DiVA.org:uu-151915DiVA: diva2:411607
Available from: 2011-04-19 Created: 2011-04-19 Last updated: 2017-12-11Bibliographically approved

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