Traumatic intra-cerebellar haematoma: study of 17 cases.

摘要

PURPOSE: We report on 17 patients with traumatic intra-cerebellar haematomas. METHODS: We retrospectively reviewed patients' clinical and radiological findings, management criteria and outcomes. RESULTS: Ten patients had poor outcomes. Glasgow Coma Scale (GCS) score at admission was significantly higher in the favourable outcome group than in the poor outcome group (p = 0.010). The haematoma volume was significantly smaller in the favourable outcome group than in the poor outcome group (p = 0.025). There were also significant differences between the two groups in terms of types of haematoma location, the status of the brainstem cisterns, the status of the fourth ventricle, and the presence of associated subarachnoid haemorrhage (SAH) (p = 0.035, 0.002, 0.010, 0.003, respectively). CONCLUSIONS: The factors correlated with outcome were GCS score, the status of the brainstem cisterns and the fourth ventricle, the presence of associated SAH, haematoma volume and haematoma location. Further studies are needed to investigate the factors relevant to the management of traumatic intra-cerebellar haematomas.