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Journal of Korean Neurosurgical Society 2005;37(3): 213-216.
Traumatic Intracerebellar Hematomas.
Young Dae Kim, Hyung Ki Park, Jae Chil Chang, Sung Jin Cho, Soon Kwan Choi, Park Jang Byun
Department of Neurosurgery, College of Medicine, Soonchunhyang University, Seoul, Korea. phk007@hosp.sch.ac.kr
ABSTRACT
OBJECTIVE
We report six patients with traumatic intracerebellar hematomas between 1997 and 2003 at our hospitals. METHODS: Each data about patients' clinicoradiologic findings, management, and outcomes, which were retrospectively reviewed. RESULTS: All patients had skull fracture on occiput and five patients with large hematomas(three cm or greater) were operated on. In the results of surgery, three patients were good outcome but two patients were fatal due to compression of brain stem. One patient with small hematoma (1.5cm) was treated conservatively and recovered. CONCLUSION: In our cases, the clinical course and prognosis of traumatic intracerebellar hematoma were grave. The results of this study support that early diagnosis based on strict observation in patients with occipital fracture will lead to best results.
Key Words: Intracerebellar hematoma; Traumatic; Posterior fossa; Head injury
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