Papacocea A, Papacocea T, Dănăilă L, Ion D, Bădărău A, Papacocea R
Institutul de Boli Cerebrovasculare, Bucureşti.
Chirurgia (Bucur). 2010 Nov-Dec;105(6):805-7.
Intracerebellar primary hematoma are produced by spontaneous hemorrhages in the cerebellar parenchima and usually present an sudden onset. In the present study we analyzed a serie of 34 cases of primary intracerebellar hematoma, in patients of both genders, between 35 and 80 years old. Taking in account the incidence of symptoms, the clinical picture was dominated by the gait disturbances, headache and consciousness disorders. From the analyzed cases, 50% had had surgical indication and 50% benefits on conservative treatment. Even though the evolution was favorable in the great majority of cases,the mortality in the surgical treated group was lesser (5,88%) comparative to the conservative treated group (17,64%). The main criteria for surgical treatment were represented by GCS (Glasgow Coma Scale) score < or =13 or blood collections exceeding 3 cm in diameter.
小脑原发性血肿是由小脑实质内的自发性出血引起的，通常起病突然。在本研究中，我们分析了34例原发性小脑血肿患者，患者年龄在35至80岁之间，涵盖了男女两性。考虑到症状的发生率，临床表现以步态障碍、头痛和意识障碍为主。在分析的病例中，50%有手术指征，50%从保守治疗中获益。尽管在大多数病例中病情进展良好，但手术治疗组的死亡率（5.88%）低于保守治疗组（17.64%）。手术治疗的主要标准是格拉斯哥昏迷量表（GCS）评分≤13分或血肿直径超过3厘米。
