Brillman J
J Neurosurg. 1979 Mar;50(3):374-6. doi: 10.3171/jns.1979.50.3.0374.
Acute cerebellar hemorrhages, treated medically with subsequent complete recovery, have been designated "benign cerebellar hemorrhages." Ordinarily, acute cerebellar hemorrhage does require early surgical intervention and reported surgical mortality is relatively low (17%) in awake patients with this lesion. Clinical studies have shown that, after a period of approximately 2 weeks, the predicted mortality for this disorder becomes less than the operative mortality, and patients are then expected to recover. The author reports a case, with serial computerized tomography scanning, in which deterioration and death occurred 4 weeks after acute cerebellar hemorrhage. It is concluded that surgical intervention should be considered early in the clinical course of all cases of acute cerebellar hemorrhage.
经药物治疗后完全康复的急性小脑出血被称为“良性小脑出血”。通常情况下，急性小脑出血确实需要早期手术干预，而且据报道，清醒状态下患有此病变的患者手术死亡率相对较低（17%）。临床研究表明，经过约2周时间后，这种疾病的预计死亡率会低于手术死亡率，此时患者有望康复。作者报告了一例通过系列计算机断层扫描的病例，该患者在急性小脑出血4周后病情恶化并死亡。得出的结论是，在所有急性小脑出血病例的临床过程中都应尽早考虑手术干预。
