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Clinical outcome following surgical treatment for bilateral cerebellar infarction
Author(s) -
Tsitsopoulos P. P.,
Tobieson L.,
Enblad P.,
Marklund N.
Publication year - 2011
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.2010.01404.x
Subject(s) - medicine , surgery , glasgow outcome scale , infarction , modified rankin scale , decompressive craniectomy , glasgow coma scale , expansive , decompression , anesthesia , ischemia , traumatic brain injury , myocardial infarction , compressive strength , ischemic stroke , materials science , psychiatry , composite material
Tsitsopoulos PP, Tobieson L, Enblad P, Marklund N. Clinical outcome following surgical treatment for bilateral cerebellar infarction.
Acta Neurol Scand: 2011: 123: 345–351.
© 2010 John Wiley & Sons A/S. 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.