特発性小脳出血の予後規定因子の検討

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  • The Prognostic Factors of Cerebellar Hemorrhage

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A series of 70 patients with idiopathic cerebellar hemorrhage diagnosed by computerized tomography (CT) is described. The authors studied the factors influencing the outcome of cerebellar hemorrhage. The patients were followed up 3 months after discharge, and the outcomes at discharge and 3 months after discharge were studied. The relationships of outcome with the level of consciousness on admission, with the hydrocephalus, with the volume of hematoma and with the age of patients were analyzed individually. The prognosis of surgical treatment was compared with that of conservative treatment.<BR>Many of the patients with a Japan Coma Scale (JCS) score of 10 or less tended to achieve good recovery and the patients with a JCS score of 30 or more tended to have a poor prognosis. The outcome of patients with large hematoma (31ml or more) were worse, especially in the group of conservative treatment. The level of consciousness on admission and the volume of hematoma were good guides in predicting outcome. The hydrocephalus was affected by the volume of hematoma and affected the level of consciousness. The prognoses of aged patients older than 80 were worst and most of them died. The incidence of impairments after discharge increased in aged patients. We suggest that the age of the patient may be a major factor influencing outcome of cerebellar hemorrhage as well as the level of consciousness on admission and the volume of hematoma.

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