Traumatic isolated intracerebellar haematoma without any supratentorial lesion

Abstract

Purpose. Pure isolated cerebellar haematoma of traumatic aetiology, without associated posterior fossa sub- or epidural haematomas and without supratentorial bleed is a rare entity. We conducted this retrospective study to analyze the management strategy of isolated traumatic intracerebellar haematoma without supratentorial lesion in our institute. Methods. We retrospectively reviewed records of more than 15000 head injury patients in our department of neurosurgery between January 2014 and November 2019. In this isolated intracerebellar hematoma patients are 60. Patients were divided into two groups assessed by the GCS score at the time of presentation – Group A (GCS>13) Group B (GCS lesser than or equal to 13). Group A treated conservatively and B surgically. Group A subdivided according to the size of hematoma into1st (>3cm ) and 2nd ( 3 cm hematoma) has associated with poor outcome ( 28.57%) and Subgroup 2nd ( 3 cm and GCS > 8 patient should operate within 12 hr. Patient of GCS 13 should be treated conservatively. The factors which may be associated with the poor outcome are Low GCS score at the time of admission(3cm), median location and delay time of surgery(>12hr).

Keywords

• traumatic intracerebellar hematoma
• GCS
• hematoma size