Clinical and neurological predictors of outcome in the acute phase of cerebellar hemorrhage

Abstract

Objective: To study new data about clinical and neurological predictors of outcome in the acute phase of cerebellar hemorrhage.Materials and methods: We analyzed the data of the clinical-neurological examination and the results of the treatment of 95 patients with cerebellum hemorrhage (CH) in the acute phase.Results: According to the Glasgow Outcome Scale (GOS) favorable outcome was in 55 (57.9%) patients, poor — in 12 (12,6%) and fatal — in 28 (29,5%) (5–4, 3–2 and 1 points). We showed significant difference with respect to the level of consciousness according to the Glasgow Coma Scale (GCS) (p=0,000), systolic blood pressure (p=0,013), lesion of the cranial nerves (p=0,000), movement disorders (p=0,008), Babinski reflex (p=0,001), sensitivity disturbance (p=0,001) and pelvic organ dysfunction (p=0,000).Conclusions. GCS score of greater than 13 points, normal flexor plantar response and absence of cranial nerves lesion are strong predictive factors of favorable outcome.