Affiliation:
1. Mch. Neurosurgery Resident, Madras Medical College, Chennai.
2. Mch. Neurosurgery, Associate Professor of Neurosurgery, Madras Medical College, Chennai.
Abstract
AIM: The main objective of this study is to analyze the management options and the outcome of the
patients presenting with acute cerebellar infarction. A total of 45 patients (male-34; female- METHODS:
11) admitted with acute cerebellar infarction (ischemic) in our hospital during December 2019 – December 2020, were analyzed
prospectively. We analyzed the clinical presentation, radiological investigation, associated co-morbid illness and the clinical
outcome following various management strategies. 30 patients were managed conservatively, out of whi RESULTS: ch 25
patients survived and 5 patients expired. 8 patients were managed with ventricular drainage alone. 6 of them improved,
whereas 1 patient expired. 7 patients needed sub-occipital decompressive craniectomy and removal of infarct in our study. 2 out
of 7 patients survived and the rest died. Overall mortality in our series was 14.6%. The management criterion CONCLUSION:
mainly depends on periodic clinical & radiological evaluation. Even though, the optimal timing and surgical methods remains
controversial. Ventricular drainage alone can be reserved for patients with ventricular dilatation & sub-occipital decompressive
craniectomy with or without EVD can be advocated for those with acute deterioration with brainstem compression.