Cerebellar Hemorrhage

Cerebellar hemorrhages, accounting for ~ 10% of ICH, usually occur in the cerebellar hemispheres. Patients who remain conscious fare far better than those who become stuporous or comatose, regardless of whether they undergo evacuation of the hematoma. When patients are operated upon while still arousable, the reported mortality rate is < 30%, but evacuation of a cerebellar hematoma after the onset of coma is associated with at least a 72% mortality rate (23,24). Other clinical findings at presentation do not reliably predict outcome. Hemorrhage diameter > 3 cm, obstructive hydrocephalus, and IVH are associated with a decreased level of consciousness and a high mortality rate (24) . Overall, the survival rate for cerebellar hemorrhage is higher than for other ICH locations. For example, in the National Institute of Neurological Disorder and Stroke Data Bank series, more than 80% of cerebellar hemorrhage patients survived at least 30 days. Frequently, those patients who survive make an excellent recovery (24,25 ).

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