Clinical Outcome Following Surgical Evacuation of Spontaneous Cerebellar Hematomas


  • Imran Altaf
  • Muhammad Rizwan Sarwar



Cerebellar hematoma


Objective:  debated. The present study was designed to analyze the clinical outcome of patients operated in our department for spontaneous cerebellar hematoma evacuation.

Method: The medical data of all the patients in whom spontaneous cerebellar hematoma had been surgically evacuated were retrospectively analyzed. The parameters of age, preoperative Glasgow coma scales (GCS), and the volume of the hematoma was studied and their relationship with clinical outcome based on the Glasgow outcome scale (GOS) was analyzed

Results:  The study included twenty-four patients. Fourteen (58.3%) patients survived and ten (41.7%) patients expired. The mean age of the surviving patients was 57 years and the mean age of the expired patients was 57.2 years. The difference wasn’t statistically significant (p = 0.9612). The mean hematoma volume in the surviving patients was 23 cm3 and in the expired patients was 26.2 cm3. The difference didn’t reach statistical significance (p = 0.1614). The mean preoperative GCS of the surviving patients was 12.4 and of the expired patients were 8.3. This difference was statistically significant (p = 0.004). All the surviving patients had a favorable outcome based on the GOS score

Conclusion:  Surgical evacuation of cerebellar hematomas leads to a good clinical outcome. Preoperative GCS is significantly associated with the clinical outcome. The age of the patient and the volume of the hematoma were not found to be significantly associated with the clinical outcome


de Oliveira Manoel AL. Surgery for spontaneous intracerebral hemorrhage. Crit Care, 2020; 24 (1): 45.

Broderick JP, Grotta JC, Naidech AM, Steiner T, Sprigg N, Toyoda K, et al. The Story of Intracerebral Hemorrhage: From Recalcitrant to Treatable Disease. Stroke, 2021; 52 (5): 1905-1914.

Arash Lashani, Robert Hage. A case of spontaneous cerebellar hemorrhage. Clin Case Studie Rep. 2020; 3 (2): 1-4.

Shen J, Shao X, Ge R, Di G, Jiang X. Risk Factors for Postoperative Rebleeding and Short-Term Prognosis of Spontaneous Cerebellar Hemorrhage. Risk Manag Healthc Policy, 2021; 14: 2045-2053.

Satopää J, Meretoja A, Koivunen RJ, Mustanoja S, Putaala J, Kaste M, et al. Treatment of intracerebellar haemorrhage: Poor outcome and high long-term mortality. Surg Neurol Int. 2017; 8: 272.

Chen R, Wang X, Anderson CS, Robinson T, Lavados PM, Lindley RI, et al. Infratentorial Intracerebral Hemorrhage. Stroke, 2019; 50 (5): 1257-1259.

Han J, Lee HK, Cho TG, Moon JG, Kim CH. Management and Outcome of Spontaneous Cerebellar Hemorrhage. J Cerebrovasc Endovasc Neurosurg. 2015; 17 (3): 185-93.

Delcourt C, Sato S, Zhang S, Sandset EC, Zheng D, Chen X, et al; INTERACT2 Investigators. Intracerebral hemorrhage location and outcome among INTERACT2 participants. Neurology, 2017; 88 (15): 1408-1414.

Kuramatsu JB, Biffi A, Gerner ST, Sembill JA, Sprügel MI, Leasure A et al. Association of Surgical Hematoma Evacuation vs. Conservative Treatment With Functional Outcome in Patients With Cerebellar Intracerebral Hemorrhage. JAMA. 2019; 322 (14): 1392-1403.

Amar AP. Controversies in the neurosurgical management of cerebellar hemorrhage and infarction. Neurosurg Focus, 2012; 32 (4): E1.

Dahdaleh NS, Dlouhy BJ, Viljoen SV, Capuano AW, Kung DK, Torner JC, et al. Clinical and radiographic predictors of neurological outcome following posterior fossa decompression for spontaneous cerebellar hemorrhage. J Clin Neurosci. 2012; 19 (9): 1236-41.

Dolderer S, Kallenberg K, Aschoff A, Schwab S, Schwarz S. Long-term outcome after spontaneous cerebellar haemorrhage. Eur Neurol. 2004; 52 (2): 112-9.

Ho YN, Hsu SY, Lin YT, Cheng FC, Lin YJ, Tsai NW, et al. Predictive factors of neurologic deterioration in patients with spontaneous cerebellar hemorrhage: a retrospective analysis. BMC Neurol. 2019; 1; 19 (1): 81.

Hemphill JC 3rd, Amin-Hanjani S. Cerebellar Intracerebral Hemorrhage: Time for Evidence-Based Treatment. JAMA. 2019; 322 (14): 1355-1356.

Lee TH, Huang YH, Su TM, Chen CF, Lu CH, Lee HL, et al. Predictive Factors of 2-Year Postoperative Outcomes in Patients with Spontaneous Cerebellar Hemorrhage. J Clin Med. 2019; 8 (6): 818.

Villalobos-Díaz R, Ortiz-Llamas LA, Rodríguez-Hernández LA, Flores-Vázquez JG, Calva-González M, Sangrador-Deitos MV, et al. Characteristics and Long-Term Outcome of Cerebellar Strokes in a Single Health Care Facility in Mexico. Cureus. 2022; 14 (9): e28993.

Dammann P, Asgari S, Bassiouni H, Gasser T, Panagiotopoulos V, Gizewski ER, et al. Spontaneous cerebellar hemorrhage--experience with 57 surgically treated patients and review of the literature. Neurosurg Rev. 2011; 34 (1): 77-86.






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