DOI: 10.36347/sasjm.2021.v07i03.008

Pages: 104-109

Background: Cerebellar haemorrhages occur most frequently in the area of the dentate nucleus. From this site they can spread to involve most of the cerebellar hemisphere and occasionally cross the midline to involve the other side. Objective: This study was to evaluate the clinical and radiographic predictors of neurological outcome following posterior fossa decompression for spontaneous cerebellar haemorrhage. Methods: The Study was conducted in the Department of Neurosurgery, in collaboration with the Department of Anesthesiology and Radiology Imaging, Dhaka Medical College Hospital, Dhaka, Bangladesh to find out the common indications of non-contrast enhanced CT scan suggestive of spontaneous cerebellar haemorrhage. 97 cases were randomly selected for the study whose common indication of non-contrast enhanced CT scan suggestive of spontaneous cerebellar haemorrhage. Clinical examination and evaluation were done from May 2012 to December 2013. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences (SPSS-22). Results: Table shows mean age was 62.94(±8.88), minimum age was 37 and maximum age was 72 years, maximum age group was 61-70 years of age 39(40.2%). Figure shows Modified Rankin Scale (MRS) in GCS score ≤ 8 14(93.3%) were in MRS G-3, 06(60%) on MRS G-4 and 16(72.7%) were in MRS G-6. In GCS score 9-13 15(65.2%) were MRS G-0, 12(60%) MRS G-1, 07(100%) MRS G-2, 04(40%) MRS G-4 and 04(18.2%) MRS G-6. Conclusions: The configuration of the fourth ventricle on CT scans is a useful sign for selection of the appropriate surgical procedure, compared with estimation of the size of the hematoma. The outcomes of patients with ventricular compression and GCS scores of less than 8 at the time of treatment were poor, despite aggressive treatment.