Jiménez García M, Galdós Alcelay L, Feijoo de Freixo M
Med Clin (Barc). 1980 Feb 10;74(3):112-4.
Spontaneous cerebellar hemorrhage is a significant clinical entity because of its important incidence (more than 10 percent of intracranial hemorrhages) and its therapeutic possibilities. The diagnosis of this condition is difficult, but at the presnet time the Emi-scanner easily confirms the diagnosis. The surgical treatment was up until recently the only possible therapeutic approach, and it has been indiscriminately applied to all patients because of the high mortiality rate of this condition (80 percent). Two hypertensive patients who presented spontaneous cerebellar hematomas, verified by the scanner, were not submitted to surgery and both recovered spontaneously without sequelae. The existence of non-surgical forms of spontaneous cerebellar hemorrhage is discussed. Special attention is placed upon the variations in the level of consciousness and the presence or absence of acute hydrocephalus in the scanner in order to indicate the convenience of a surgical procedure.
自发性小脑出血是一种重要的临床病症，因其发病率较高（占颅内出血的10%以上）且存在治疗可能性。这种病症的诊断较为困难，但目前Emi扫描仪能轻松确诊。直到最近，手术治疗一直是唯一可行的治疗方法，由于该病死亡率较高（80%），所以被不加区分地应用于所有患者。两名经扫描仪证实患有自发性小脑血肿的高血压患者未接受手术，均自发康复且无后遗症。文中讨论了自发性小脑出血的非手术形式的存在。特别关注意识水平的变化以及扫描仪中急性脑积水的有无，以表明手术的便利性。
