Document Detail

Surgical management of acute cerebellar infarction.
MedLine Citation:
PMID:  3984789     Owner:  NLM     Status:  MEDLINE    
After reviewing the literature, a personal series of 10 adult patients with cerebellar infarction diagnosed by CT scan is described. The clinical picture in young adult men is characterized by rapid onset of headache, vomiting, vertigo, ataxia and blurred vision. After this sudden onset the patients may present a stable course or a rapid or delayed onset of brain stem compression, revealed by impairment of consciousness. CT scan is the diagnostic method of choice. The correlation between angiographic and CT localization of the infarction is not good. For therapy the following policy is suggested: in alert and clinically stable patients: medical treatment (mannitol, glycerol, dexamethason), ICP and serial CT monitoring; in alert patients with hydrocephalus or mass effect: medical treatment and monitoring as mentioned before; ventricular drainage if ICP surpasses 350 mm H2O; in patients with impaired consciousness and hydrocephalus or mass effect: immediate ventricular drainage. If it is not followed by prompt improvement of the level of consciousness, an emergency suboccipital craniectomy with removal of the infarcted tissue should be done.
F A Cioffi; F P Bernini; A Punzo; R D'Avanzo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta neurochirurgica     Volume:  74     ISSN:  0001-6268     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  1985  
Date Detail:
Created Date:  1985-04-26     Completed Date:  1985-04-26     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  AUSTRIA    
Other Details:
Languages:  eng     Pagination:  105-12     Citation Subset:  IM    
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MeSH Terms
Arteries / surgery
Cerebellum / blood supply*
Cerebral Angiography
Cerebral Infarction / radiography,  surgery*
Cerebrospinal Fluid Shunts
Combined Modality Therapy
Hydrocephalus / surgery
Intracranial Pressure
Middle Aged
Tomography, X-Ray Computed
Vertebrobasilar Insufficiency / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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