Prognostic Factors Affecting Surgical Outcome of Spontaneous Cerebellar Hemorrhage | ||
| The Medical Journal of Cairo University | ||
| Volume 93, Issue 06, June 2025, Pages 619-624 PDF (90.48 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2025.444262 | ||
| Author | ||
| YASSER A. ABDALRAHEEM, M.D.; MOHAMED A. HEWEDY, M.D. and HANY MOHAILABA, M.D. | ||
| The Department of Neurosurgery, Faculty of Medicine, Beni-Suef University | ||
| Abstract | ||
| Background: Spontaneous cerebellar hemorrhage (SCH) is associated with higher rates of morbidity and mortality worldwide. This is because the posterior fossa space is very constrained; meaning that even a small amount of bleeding can put pressure on the brainstem and cause serious complications. Aim of Study: To identify potential predictors of surgical success in SCH patients by analyzing their prognostic charac-teristics. Patients and Methods: Twenty individuals diagnosed with SCH and undergoing surgery at Beni-Suef University Hospi-tals’ Neurosurgery Department were the subjects of this ret-rospective study. Age, sex, maximum diameter and volume of hemorrhage, affiliated intraventricular hemorrhage (IVH), compression of the fourth ventricle, associated hydrocephalus, and compression of the brainstem were among the prognostic variables evaluated in the patients. We used the Glasgow Out-come Scale (GOS) to assess the outcomes. Results: The participants’median age was 60.20±4.36 years, according to the results. Seventy percent were men and thirty percent were women. The following variables were found to be significantly correlated with poor outcomes as measured by the GOS: Patient age (p=0.004), GCS (p<0.001), hematoma size (p<0.001), presence of pre-interventional IVH (p<0.001), brain stem compression (p=0.019), delayed intervention time (p=0.001), performance of cerebrospinal fluid (CSF) diversion (p=0.001), and occurrence of complications (p=0.004). Conclusion: The level of consciousness when admitted, delayed surgical intervention, IVH, brainstem compression, significant fourth ventricular compression with hydrocephalic changes are all factors that predict a poor outcome of surgical treatment. | ||
| Keywords | ||
| Cerebellar; Hemorrhage; Brain stem; GOS | ||
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