Prognosis of Cerebellar Hemorrhage ; comparing hypertensive and normotensive group

J Korean Neurol Assoc > Volume 11(4); 1993 > Article

Journal of the Korean Neurological Association 1993;11(4): 505-511.

소뇌출혈의 고혈압군과 정상혈압군의 예후에 대한 연구

김만호, 윤병우,노재규

서울대학교 신경과.

Prognosis of Cerebellar Hemorrhage ; comparing hypertensive and normotensive group

Man-Ho Kim, M.D., Byung-Woo Yoon, M.D., Jae-Kyu Roh, M.D.

Department of Neurology , College of Medicine, Seoul National University

Abstract

To evaluate the difference in prognosis between hypertensive (HTN) and normotensive (NTN) cerebellar hemorrhages, we compared 20 HTN with 7 NTN patients with cerebellar hemorrhage. A series of 27 cerebellar hemorrhages diagnosed by CT scan in Seoul National University Hospital were divided into two groups: hypertensive(HTN) and normotensive (NTN). We analyzed two groups about clinical and radiological findings including outcome. We also evlauated the factors that had an effect on the prognosis of cerebellar hemorrhage. The etiologies of NTN were AVM in four, tumor in two and one unknown cause. The prognostic factors in both groups were initial consciousness level, degree of hydrocephalus, quadrigeminal cisternal obliteration, hematoma size and volume while the differences between HTN and NTN were age, hematoma size and volume, quadrigeminal obliteration and outcome. Therefore, the hematoma size. Volume and quadrigeminal cisternal obliteration might lead to poorer outcome in HTN group. We concluded that hypertensive cerebellar hemorrhages revealed poorer progonsis than normotensive cerebellar hemorrhage and hypertension should be considered as an underlying factor determining the prognosis of cerebellar hemorrhages.