Elkind M S, Mohr J P
Stroke Unit, Neurological Institute, Columbia-Presbyterian Medical Center, New York, NY 10032, USA.
New Horiz. 1997 Nov;5(4):352-8.
Cerebellar hemorrhage may present with a spectrum of clinical manifestations, from a benign course with little to no neurologic deficit to a rapidly fatal course with hydrocephalus and brainstem compression. In patients with clinical deterioration, ventricular drainage and surgical evacuation of clot may be life-saving. Several retrospective studies have attempted to define radiographic indicators of the need for surgery with moderate success. A rational approach to the management of the patient with cerebellar hemorrhage is presented.
小脑出血可能呈现一系列临床表现，从几乎没有神经功能缺损的良性病程到因脑积水和脑干受压而迅速致命的病程。对于临床病情恶化的患者，脑室引流和手术清除血凝块可能挽救生命。几项回顾性研究试图确定手术必要性的影像学指标，但取得的成功有限。本文提出了一种治疗小脑出血患者的合理方法。
