This is a retrospective study carried out by clinical analysis of the authors' experience in 60 patients with cerebellar strokes—of which 39 were spontaneous cerebellar hemor rhage and 21 were cerebellar infarction—to compare the clinical presentation, course, and prognosis. Hypertension was found to be the most important etiologic factor. Clinical differentiation of cerebellar hemorrhage from infarction was not possible, but the management was similar in both entities. Computerized tomography was necessary to make diagnosis of the stroke mechanism. In evaluating outcome, the authors conclude that the most important single factor affecting the prognosis was the early correct diagnosis.
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References
1.
Kobayashi S. , Sato A., Kageyama Y., et al: Treatment of hypertensive cerebellar hemorrhage—surgical or conservative management. Neurosurgery34:246-251,1994.
2.
Heros RC: Surgical treatment of cerebellar infarction. Stroke23:937-938, 1992.
3.
Yoshida N., Kagawa M., Takeshita M., et al: Grading and operative indication for hypertensive cerebellar hemorrhage. Neurol Surg14:725-731, 1986.
4.
Lindgren SO: Infarctions simulating brain stem tumors in the posterior fossa. J Neurosurg13:575-581, 1956.
5.
Auer LM, Auer T., Sayama I.: Indications for surgical treatment of cerebellar hemorrhage and infarction . Acta Neurochirurgia79:74-79, 1986.
6.
Ivamato HS, Numoto M., Danaghy P.: Surgical decompression for cerebral and cerebellar infarcts. Stroke5:365-370, 1974.
7.
Ott KH, Kase CS, Ojemann RG, et al: Cerebellar hemorrhage: Diagnosis and treatment. A review of 56 cases. Arch Neurol31:160-167, 1974.
Tomoszek DE , Posne MJ: Cerebellar infarction: Analysis of twenty-one cases. Surg Neurol24:223-226, 1985.
11.
Savoiardo M. , Bracchi M., Passerini A., et al: The vascular territories in the cerebellum and brainstem: CT and MRI study. Am J Neuroradiol8:199-209, 1987.
12.
Heros RC: Cerebellar hemorrhage and infarction. Stroke13:106-109, 1982.
13.
Laun A., Busse O., Catayud V., et al: Cerebellar infarcts in the area of the supply of the PICA and their surgical treatment. Acta Ncurochir ( Wien) 781:295-306, 1984.
Amarenco P. , Roullet E., Hommel M., et al: Infarction in the territory of the medial branch of the posterior inferior cerebellar artery. J Neurol Neurosurg Psychiatry53:731-735, 1990.
18.
Van der Hoop RG, Venneulen M., Van Gijn J.: Cerebellar hemorrhage: Diagnosis and treatment . Surg Neurol29:6-10, 1988.
19.
Wakai S., Nagai M.: Histological verification of microaneurysms as a cause of cerebral hemorrhage in surgical specimens. J Neurol Neurosurg Psychiatry52:595-599, 1989.
20.
Weisberg LA : Acute cerebellar hemorrhage and CT evidence of tight posterior fossa. Neurology36:858-860, 1986.
Little JR, Tubman DE, Ethier R.: Cerebellar hemorrhage in adults. Diagnosis by computerized tomography. J Neurosurg48:575-579, 1978.
25.
Taneda M., Hayakawa T., Mogami H.: Primary cerebellar hemorrhage. Quadrigeminal cistern obliteration on CT scans as a predictor of outcome. J Neurosurg6:545-552, 1987.
Amarenco P. , Hauw JJ: Cerebellar infarction in the territory of the anterior and inferior cerebellar artery: A clinicopathological study of 20 cases. Brain113:139-155, 1990.
28.
Amarenco P. , Hauw JJ: Cerebellar infarction in the territory of the superior cerebellar artery: A clinicopathologic study of 33 cases. Neurology40:1383-1390, 1990.
