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Clinical outcome following surgical treatment for bilateral cerebellar infarction

Tsitsopoulos, P P; Tobieson, L; Enblad, P and Marklund, N LU (2011) In Acta Neurologica Scandinavica 123(5). p.51-345
Abstract

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... (More)

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.

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publication status
published
keywords
Adult, Aged, Brain Infarction, Cerebellar Diseases, Cerebellum, Craniotomy, Decompression, Surgical, Female, Glasgow Coma Scale, Humans, Male, Middle Aged, Radiography, Severity of Illness Index, Treatment Outcome, Journal Article, Research Support, Non-U.S. Gov't
in
Acta Neurologica Scandinavica
volume
123
issue
5
pages
51 - 345
publisher
Wiley-Blackwell
external identifiers
  • scopus:79952854852
ISSN
1600-0404
DOI
language
English
LU publication?
no
id
b4f605a7-6ce9-4672-9b68-d429bc0233e6
date added to LUP
2018-03-03 15:04:13
date last changed
2018-05-29 09:47:13
@article{b4f605a7-6ce9-4672-9b68-d429bc0233e6,
  abstract     = {<p>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.</p><p>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).</p><p>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.</p><p>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.</p>},
  author       = {Tsitsopoulos, P P and Tobieson, L and Enblad, P and Marklund, N},
  issn         = {1600-0404},
  keyword      = {Adult,Aged,Brain Infarction,Cerebellar Diseases,Cerebellum,Craniotomy,Decompression, Surgical,Female,Glasgow Coma Scale,Humans,Male,Middle Aged,Radiography,Severity of Illness Index,Treatment Outcome,Journal Article,Research Support, Non-U.S. Gov't},
  language     = {eng},
  number       = {5},
  pages        = {51--345},
  publisher    = {Wiley-Blackwell},
  series       = {Acta Neurologica Scandinavica},
  title        = {Clinical outcome following surgical treatment for bilateral cerebellar infarction},
  url          = {http://dx.doi.org/},
  volume       = {123},
  year         = {2011},
}