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59. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
3. Joint Meeting mit der Italienischen Gesellschaft für Neurochirurgie (SINch)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

01. - 04.06.2008, Würzburg

Surgical evacuation of spontaneous intracerebellar haemorrhage in a series of 57 patients – Comparison between early and delayed surgery

Operative Exstirpation von spontanen intrazerebellären Blutungen in einer Serie von 57 Patienten – Vergleich der Früh- und Spätoperation

Meeting Abstract

  • corresponding author I.E. Sandalcioglu - Neurochirurgische Klinik, Universitätsklinikum Essen
  • P. R. Dammann - Neurochirurgische Klinik, Universitätsklinikum Essen
  • H. Bassiouni - Neurochirurgische Klinik, Universitätsklinikum Essen
  • S. Asgari - Neurochirurgische Klinik, Universitätsklinikum Essen
  • D. Stolke - Neurochirurgische Klinik, Universitätsklinikum Essen

Deutsche Gesellschaft für Neurochirurgie. Società Italiana di Neurochirurgia. 59. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3. Joint Meeting mit der Italienischen Gesellschaft für Neurochirurgie (SINch). Würzburg, 01.-04.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocMO.10.05

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dgnc2008/08dgnc103.shtml

Veröffentlicht: 30. Mai 2008

© 2008 Sandalcioglu et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: Considerable debate remains regarding the evacuation of spontaneous intracerebellar haemorrhage. To investigate the clinical outcome between early and delayed surgery, we conducted a retrospective analysis in patients, who underwent surgical evacuation of the cerebellar haematoma.

Methods: A total of 57 patients with significant spontaneous intracerebellar haemorrhage underwent surgical evacuation in our institution. There were 31 male and 26 female patients. The mean age was 64 years. All patients underwent craniotomy or decompressive craniectomy after insertion of a ventricular drainage. Patients were operated either in an early stage or delayed, when the initial stable clinical condition deteriorated. Pre- and postoperative neurological condition was graded according to the modified Rankin-Scale and outcome with the Glasgow-Outcome-Score as well.

Results: The overall preoperative Rankin-Score was 3.6 points and the postoperative score 3.0 points. The perioperative mortality rate was 22%. The preoperative Rankin-Score was 3.9 points for patients with early surgery and 3.0 points in patients with delayed surgery and the postoperative score 3.2 and 2.5 points, respectively. The mortality rates were 28% for the early surgery group and 11% for the delayed surgery group.

Conclusions: Patients, who required early surgery showed a worse clinical course, thus, the initial clinical condition proved to be the most important predictive factor for functional outcome. Therefore, initial clinical observation is justifiable for patients in good and stable neurological condition.