Management of Cerebellar Hemorrhage and Infarction
Management of Cerebellar Hemorrhage and Infarction
The management of cerebellar hemorrhagic and ischemic stroke is controversial. Issues such as the difference in the treatment algorithm of cerebellar ICH versus infarction, criteria for imaging to exclude an underlying structural lesion, the value of MRI for patient selection, the role of external ventricular drainage, the indications for operative management, the timing of surgical intervention, and various options of surgical technique remain unresolved. Professional society guidelines for these considerations are sparse and based on relatively poor quality data. Nonetheless, the potential value of neurosurgical intervention remains well established.
Conclusions
The management of cerebellar hemorrhagic and ischemic stroke is controversial. Issues such as the difference in the treatment algorithm of cerebellar ICH versus infarction, criteria for imaging to exclude an underlying structural lesion, the value of MRI for patient selection, the role of external ventricular drainage, the indications for operative management, the timing of surgical intervention, and various options of surgical technique remain unresolved. Professional society guidelines for these considerations are sparse and based on relatively poor quality data. Nonetheless, the potential value of neurosurgical intervention remains well established.
Source...