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임상 : 천막상부 수술 후 발생한 소뇌출혈에 대한 임상 분석
전기현 ( Ki Hyun Jeon ),김선환 ( Seon Hwan Kim ),고현송 ( Hyun Song Koh ),염진영 ( Jin Young Youm ),송시헌 ( Shi Hun Song ),김윤 ( Youn Kim ) 대한뇌종양학회 2005 대한뇌종양학회지 Vol.4 No.1
Objective￡ºCerebellar hemorrhage after supratentorial surgery is a very seldom but serious complication. The purpose this study is to analyze the available clinical data on cerebellar hemorrhage after supratentorial surgery and apply them treatment for the better prognosis. Methods￡ºBetween 1995 and 2004, we experienced 5 cases of cerebellar hemorrhage after supratentorial surgery. analyzed the data of 71 cases of cerebellar hemorrhage after supratentorial surgery about demographics, radiologic findings, risk factors, treatments and prognosis via retrospective study(5 from our records and 66 from the literature). Results￡ºThe incidence of cerebellar hemorrhage after supratentorial surgery is 0.2% in the literature and 0.17% in hospital. Twenty two patients(30.9%) were operated on for aneurysms, and 21 patients(29.5%) were operated on tumors. Sixty cases were positioned supine with head rotation and 58 cases underwent cerebrospinal fluid drainage during surgery. Cerebellar hemorrhage after supratentorial surgery carries a mortality of about 22%. Conclusion￡ºRemote cerebellar hemorrhage most commonly follows supratentorial surgery, performed with the patient in the supine position with head rotation, that involve opening of cerebrospinal fluid cisterns or the ventricular system. The most important keys to minimize this hazardous sequela are to be aware of this potential complication, diagnose early and treat it promptly.
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