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Open AccessArticle

Predictive Factors of 2-Year Postoperative Outcomes in Patients with Spontaneous Cerebellar Hemorrhage

1
Division of Neurosurgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan
2
Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
3
Department of Radiology, China Medical University Hospital, Taichung 40447, Taiwan
4
Department of Neurology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan
5
Department of Surgery, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
6
Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
7
School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
8
Department of Urology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
9
Department of Neurosurgery, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
*
Authors to whom correspondence should be addressed.
Contribute equally in this manuscript.
J. Clin. Med. 2019, 8(6), 818; https://doi.org/10.3390/jcm8060818
Received: 11 April 2019 / Revised: 28 May 2019 / Accepted: 6 June 2019 / Published: 8 June 2019
(This article belongs to the Section Hematology)
Spontaneous cerebellar hemorrhage (SCH) is associated with high patient mortality and morbidity, but the clinical and radiographic predictors of the postoperative outcome have not been widely addressed in the literature. The purpose of this study was to define the prognostic factors for the two-year postoperative outcome in patients with SCH. We conducted a retrospective study of 48 consecutive patients with SCH who underwent neurosurgical intervention. Correlation analysis was performed to examine the possible link between clinical and radiographic parameters, and the National Institutes of Health Stroke Scale (NIHSS) score at each patient’s discharge and the two-year postoperative outcome as defined according to the Glasgow outcome scale (GOS). A total of 48 patients with SCH underwent neurological surgery, which included suboccipital craniectomy and/or external ventricular drainage (EVD). The mean patient age was 63 years. Nine patients underwent suboccipital craniectomy only; 38 underwent both suboccipital craniectomy and EVD. The overall mortality rate was 35.4%. Fourteen patients (29.2%) had good outcomes. A good outcome on the GOS at 2 years after surgical treatment of SCH was associated with the NIHSS score at discharge. An increase of one point in a patient’s NIHSS score at discharge following neurological surgery will increase the probability of a poor two-year postoperative outcome by 28.5%. View Full-Text
Keywords: spontaneous cerebellar hemorrhage; Glasgow coma scale; Glasgow outcome scale; National Institutes of Health Stroke Scale; postoperative outcome spontaneous cerebellar hemorrhage; Glasgow coma scale; Glasgow outcome scale; National Institutes of Health Stroke Scale; postoperative outcome
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MDPI and ACS Style

Lee, T.-H.; Huang, Y.-H.; Su, T.-M.; Chen, C.-F.; Lu, C.-H.; Lee, H.-L.; Tsai, H.-P.; Sung, W.-W.; Kwan, A.-L. Predictive Factors of 2-Year Postoperative Outcomes in Patients with Spontaneous Cerebellar Hemorrhage. J. Clin. Med. 2019, 8, 818. https://doi.org/10.3390/jcm8060818

AMA Style

Lee T-H, Huang Y-H, Su T-M, Chen C-F, Lu C-H, Lee H-L, Tsai H-P, Sung W-W, Kwan A-L. Predictive Factors of 2-Year Postoperative Outcomes in Patients with Spontaneous Cerebellar Hemorrhage. Journal of Clinical Medicine. 2019; 8(6):818. https://doi.org/10.3390/jcm8060818

Chicago/Turabian Style

Lee, Tsung-Han; Huang, Yu-Hua; Su, Tsung-Ming; Chen, Chih-Feng; Lu, Cheng-Hsien; Lee, Hsiang-Lin; Tsai, Hui-Ping; Sung, Wen-Wei; Kwan, Aij-Lie. 2019. "Predictive Factors of 2-Year Postoperative Outcomes in Patients with Spontaneous Cerebellar Hemorrhage" J. Clin. Med. 8, no. 6: 818. https://doi.org/10.3390/jcm8060818

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