Clinical outcome following surgical treatment for bilateral cerebellar infarction

Acta Neurologica Scandinavica
P P TsitsopoulosN Marklund

Abstract

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. 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). 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. 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.

References

Jul 1, 1992·Stroke; a Journal of Cerebral Circulation·R C Heros
Jul 1, 1992·Stroke; a Journal of Cerebral Circulation·H J ChenC P Wei
Jan 1, 1988·Acta neurochirurgica·J E StarmarkE Holmgren
Sep 1, 1987·Stroke; a Journal of Cerebral Circulation·R A MacdonellG A Donnan
Jan 1, 1986·Acta neurochirurgica·L M AuerI Sayama
Jan 1, 1985·Acta neurochirurgica·F A CioffiR D'Avanzo
Jul 13, 1974·Lancet·G Teasdale, B Jennett
Nov 1, 1995·Stroke; a Journal of Cerebral Circulation·R de HaanN Aaronson
Jan 1, 1994·Stroke; a Journal of Cerebral Circulation·P AmarencoM G Bousser
Oct 31, 1997·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·E J SorensonT M Cheng
Nov 10, 1998·Acta Neurologica Scandinavica·A K Erdemoglu, T Duman
Oct 27, 2001·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·B Gaida-HommernickC Kessler
Sep 7, 2002·Stroke; a Journal of Cerebral Circulation·J T Lindsay WilsonIan Bone
Nov 1, 1956·Journal of Neurosurgery·S O LINDGREN
Oct 29, 2003·Neurosurgery·Antonino RacoMaurizio Salvati
Mar 19, 2005·Cerebrovascular Diseases·Emre KumralCeyla Ataç
Feb 10, 2007·Neurosurgery·Irene S KourbetiRobert S Holzman
Nov 24, 2007·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Hiroshi KudoEiji Kohmura
Oct 7, 2008·Cerebrovascular Diseases·Ji Man HongKyoon Huh
Jul 4, 2009·Stroke; a Journal of Cerebral Circulation·Eric JüttlerAlfred Aschoff
Jul 4, 2009·Stroke; a Journal of Cerebral Circulation·Thomas PfefferkornStefan Grau

❮ Previous
Next ❯

Citations

Jan 10, 2014·Neurosurgery·Pankaj K AgarwallaChristopher S Ogilvy
May 3, 2013·Neurosurgical Focus·Hermann NeugebauerEric Jüttler
Dec 3, 2014·Neurologic Clinics·Sudhir Datar, Alejandro A Rabinstein
Aug 13, 2011·Acta neurochirurgica·Parmenion P TsitsopoulosNiklas Marklund
Jan 14, 2012·Acta Neurologica Scandinavica·K NagataniH Nawashiro
Oct 21, 2014·Journal of Stroke·Sang-Beom JeonKiwon Lee
Mar 28, 2013·Surgical Neurology International·Keyvan Mostofi
Dec 12, 2019·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·V G DashyanN R Akhmedzhanova
Nov 28, 2020·Journal of Neurointerventional Surgery·Isabelle MourandFederico Cagnazzo

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Neurología : publicación oficial de la Sociedad Española de Neurología
L M CanoF Rubio
Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Hiroshi KudoEiji Kohmura
Revue neurologique
F VuillierT Moulin
© 2021 Meta ULC. All rights reserved