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          VOLUME 38 / ISSUE 3


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7 - Surgical treatment of spontaneous cerebellar hematomas

Murat Müslüman, Halit Çavuşoğlu, Yüksel Şahin, Meltem Can, Bekir M. Kılınç, Yunus Aydın

Objective: To present the result of the urgent surgical treatment of spontaneous cerebellar hematoma.

Study Design: The data of 27 patients with spontaneous cerebellar hematoma were analyzed retrospectively, between January 1995 and October 2003. The patients were grouped according to computed tomography appereances and Glasgow> coma scale score. All cases were operated by suboccipital craniectomy. Volüme of hematomas and preoperative Glasgow coma scale scores were compared with postoperative neurologic status. Mean follow-up was 16 months (range 6 to 25 months).

Results: 17 patients (%63) were male and the remaining 10 (%27) female. The age of the cases was ranged 42-87. 7 patients who died had two or more general risk factors. Positive correlation was established between preoperative Glasgow> coma scale score and postoperative neurologic status (p=0.001). Voliime of hematoma which was more than 20 milliliter influnced the postoperative result negatively (p<0.01).

Conclusions: It was concluded that volume of hematoma and Glasgow coma scale score were the main determinant in the postoperative prognosis of these cases

Keywords: Spontaneous cerebellar hematoma, surgical treatment, Glasgow coma scale score.

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