Bogousslavsky J, Regli F, Jeanrenaud X
Acta Neurochir (Wien). 1984;73(1-2):59-65. doi: 10.1007/BF01401784.
We studied two patients with large cerebellar haemorrhages, who were conscious on admission and did not deteriorate during the following days. Surgical decompression was not performed and the patients regained their former level of activity, except for moderate persisting ataxia. We suggest that cerebellar haemorrhage may have a benign spontaneous outcome, more often than previously assumed from autopsy series. The main selection criteria for surgery is an impaired state of consciousness and evidence of neurological worsening. Taken alone, the size of the haemorrhage on computerized tomography is not a reliable criterion for surgery.
我们研究了两名患有大面积小脑出血的患者，他们入院时意识清醒，在随后几天内病情未恶化。未进行手术减压，患者恢复到了之前的活动水平，只是仍存在中度共济失调。我们认为，小脑出血可能比尸检系列研究之前所认为的更常具有良性自发转归。手术的主要选择标准是意识状态受损和神经功能恶化的证据。仅凭计算机断层扫描上出血的大小，并不是手术的可靠标准。
