Cerebellar hemorrhage and infarction.

Heros, R C

doi:10.1161/01.str.13.1.106

Cited by 158 publications

(105 citation statements)

References 13 publications

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“…11,18,35 As with cerebellar infarction, cerebellar hemorrhage occurs most frequently in the 5th through the 8th decades of life and with greater frequency in males than in females. 11,18 Between 60% and 90% of all spontaneous cerebellar hemorrhages occur in hypertensive patients. Vascular malformations, coagulopathies (including the use of anticoagulants), neoplasms, aneurysms, cerebral amyloid angiopathy, and trauma account for the remainder.…”

Section: Pathophysiology and Natural Historymentioning

confidence: 99%

“…Vascular malformations, coagulopathies (including the use of anticoagulants), neoplasms, aneurysms, cerebral amyloid angiopathy, and trauma account for the remainder. 11,17 In younger patients, underlying structural conditions are the prevailing causes.…”

Section: Pathophysiology and Natural Historymentioning

confidence: 99%

“…11,14,26 The majority of patients also have hypertension. 13,26 The infarction most frequently occurs in the vascular distribution of the posterior inferior cerebellar artery, but the anterior inferior cerebellar artery and/ or superior cerebellar artery territories can also be involved.…”

Section: Pathophysiology and Natural Historymentioning

confidence: 99%

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Controversies in the neurosurgical management of cerebellar hemorrhage and infarction

Amar

2012

FOC

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Evidence-based guidelines for the management of hemorrhagic and ischemic cerebellar stroke are sparse, and most available data come from Class III studies. As a result, opinions and practices regarding the nature and role of neurosurgical intervention vary widely. A comprehensive literature review was conducted to adjudicate several contentious issues, such as the difference in the management of cerebellar hemorrhage versus infarction, criteria for imaging to exclude an underlying structural lesion, the value of MRI for patient selection, the role of external ventricular drainage, the indications for operative management, the timing of surgical intervention, and various options of surgical technique, among others. Treatment algorithms proposed in several different studies are compared and contrasted. This analysis is concluded by a summary of the recommendations from the American Stroke Association, which advises that patients with cerebellar hemorrhage who experience neurological deterioration or who have brainstem compression and/or hydrocephalus due to ventricular obstruction should undergo surgical evacuation of the hemorrhage as soon as possible, and that initial treatment of such patients with ventricular drainage alone rather than surgical removal of the hemorrhage is not recommended.

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Section: Pathophysiology and Natural Historymentioning

confidence: 99%

Section: Pathophysiology and Natural Historymentioning

confidence: 99%

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Controversies in the neurosurgical management of cerebellar hemorrhage and infarction

Amar

2012

FOC

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“…(13,22,27) For traumatic cerebellar infarction, surgical intervention is the mainstay of treatment. (13,14,18,29) Without surgical intervention prognosis of these patients remain poor. (1,13) …”

Section: Resultsmentioning

confidence: 99%

“…diversion of CSF (external ventricular drain) to control hydrocephalus and/or decompression of the posterior fossa to reduce the mass effect on brain stem. (1,5,13,14,17,22) Many authors advocate that surgical decompression should be performed first to reduce the mass effect and if the clinical features continue to persist or there is deterioration in neurological status a CSF diversion procedure can be performed. (5,11,(23)(24)(25)(26)(27) Management of the hydrocephalus with external ventricular drainage alone without posterior fossa decompression will not help to reduce the mass effect from the brain stem and shall be carrying the inherent risk of upward herniation.…”

Section: Case Reportmentioning

confidence: 99%

Post-traumatic cerebellar infarction due to vertebral artery foramina fracture: case report

Moscote-Salazar¹,

Rubiano²,

Calderón-Miranda³

et al. 2016

Romanian Neurosurgery

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Posttraumatic cerebral infarction is an uncommon cause of morbidity and mortality and many studies have highlighted that trauma needs to considered as causative factor for cerebellar infarction. We present a case of cerebellar infarction in a 35 year old young patient secondary to vertebral fracture involving the vertebral foramen and vertebral artery injury. CT scan cervical spine showed C2-3 fracture on left side with fracture extending into the left vertebral foramen. A CT scan angiogram could not be performed because of poor neurological status. Possibly the infarction was due to left vertebral artery injury. Without surgical intervention prognosis of these patients remain poor. Prognosis of patients with traumatic cerebellar infarction depends on the neurological status of the patient, intrinsic parenchymal damage and more importantly extrinsic compression of the brainstem by the edematous cerebellar hemispheres.

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