Clinical outcome following surgical treatment for bilateral cerebellar infarction
(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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- author
- Tsitsopoulos, P P; Tobieson, L; Enblad, P and Marklund, N LU
- publishing date
- 2011-05
- type
- Contribution to journal
- 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
- 10.1111/j.1600-0404.2010.01404.x
- 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/10.1111/j.1600-0404.2010.01404.x},
volume = {123},
year = {2011},
}