Zhi-Wen Wang1 *, Xin-Hui Zhou2, Chang-Feng Wang1 , Ru-En Liu1 and Xiao Bu2
1Department of Neurosurgery, Jiangxi Provincial People's Hospital, Nanchang University, Nanchang, China 2Department of Neurosurgery, Hospital of Nanchang University, Nanchang, ChinaFulltext PDF
Objective: To analyze the clinical results and CT (Computed Tomography) manifestations of cerebellar hemorrhage, and to explore a scoring system of cerebellar hemorrhage CT score (Cerebellar Hemorrhage Computed Tomography Scale CHCTS). Methods: The clinical factors and CT features of 91 patients with cerebellar hemorrhage were summarized and analyzed, and CHCTS was compared with GCS, GOS and hematoma diameter ≥. Results: There was a negative correlation between CHCTS and GCS (Pearson correlation, P<0.01, R2 =0.93). The proportion of operation (CHCTS ≥ 4) was higher than that of GCS ≤ 13 (X2 =5.19, P=0.02). The proportion of operation (CHCTS ≥ 4) was larger than that of hematoma diameter ≥ 3 cm (X2 =5.77, P=0.02). The conservative-to-good ratio < 3cm was better than that of CHCTS ≤ 3. Conclusion: CHCTS ≥ 4 can be used as a good index for judging operation. Patients with less than 3 score have a good prognosis. Conservative treatment should be actively recommended for hematoma diameter <3 cm
Cerebellar hemorrhage; CT; Score; Operation; Prognosis
Wang Z-W, Zhou X-H, Wang C-F, Liu R-E, Bu X. Clinical Summary and Score System of 91 Cases of Cerebellar Hemorrhage. World J Surg Surgical Res. 2021; 4: 1347..