Document Detail


Surgical management of comatose patients with cerebellar infarction.
MedLine Citation:
PMID:  18638769     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A series of 20 patients with cerebellar infarction were classified into four groups based on the clinical and CT findings. Two comatose patients who developed acute hydrocephalus (Group 2) are presented and were successfully treated with external ventricular drainage (EVD) alone. Continuous post-operative monitoring of intracranial pressure (ICP) demonstrated that EVD had sufficiently controlled ICP and therefore suboccipital decompression of the cerebellum was not indicated even though the patients were not immediately responsive to EVD. Both patients made a gradual recovery: a 57-year-old woman, independently ambulatory, was discharged to her home and a 76-year-old woman, ambulatory with assistance, was discharged to a rehabilitation hospital. The results of our two cases suggest that EVD should be the first treatment in cases of cerebellar infarction with cerebellar swelling or oedema accompanied by hydrocephalus. Posterior fossa decompression and removal of infarcted cerebellar tissue should be indicated only in cases where ICP can not be controlled by EVD, even if there is no immediate recovery of the patient's impaired consciousness. Reviewing the literature pertinent to our two cases, the use of ventricular drainage alone in the management of cerebellar infarction with ischaemic cerebellar swelling is discussed.
Authors:
M Ito; T Sonokawa; H Mishina; M Hishii; K Sato
Related Documents :
1082559 - Comparing evans' index and computerized axial tomography in assessing relationship of v...
6096059 - Causes of small deep infarcts detected by ct.
11478069 - Dural arteriovenous malformation associated with recurrent subdural haematoma and intra...
16002219 - Hydroxysafflor yellow a protects rat brains against ischemia-reperfusion injury by anti...
313549 - Acute intracranial vascular accidents.
20849639 - Is elevated sua associated with a worse outcome in young chinese patients with acute ce...
19586959 - Autologous mesenchymal stem cells produce reverse remodelling in chronic ischaemic card...
21330239 - The outcome of bifurcation lesion stenting using a biolimus-eluting stent with a bio-de...
16627429 - Permanent pacing using a coronary sinus lead in a patient with univentricular physiolog...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  1     ISSN:  0967-5868     ISO Abbreviation:  J Clin Neurosci     Publication Date:  1994 Oct 
Date Detail:
Created Date:  2008-07-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  251-6     Citation Subset:  -    
Affiliation:
Department of Neurosurgery, East Tokyo Metropolitan Hospital and Juntendo University Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Early surgery for posterior circulation aneurysms following subarachnoid haemorrhage.
Next Document:  Frameless stereotaxis for the insertion of lumbar pedicle screws.