Experience of the stereotactic puncture and catheter drainage for hypertensive cerebellar hemorrhage

Abstract

Objective To summarize the experience of stereotactic puncture and catheter drainage in the treatment of hypertensive cerebellar hemorrhage. Methods Thirteen patients with hypertensive cerebellar hemorrhage were hospitalized from January 2016 to December 2018. The patients were treated with stereotactic puncture and catheter drainage via retrosigmoid approach. After operation, Glasgow Outcome Scale (GOS) was used to observe the curative effect. Results The average time from onset to operation was (21.61 ± 4.34) h, the average operation time was (1.53 ± 0.67) h, average evacuation time was (54.39 ± 8.10) h, and the average time of drainage tube removal was (3.18 ± 0.42) d. Postoperative complications included pulmonary infection (3 cases) and gastrointestinal hemorrhage (2 cases), which were recovery by symptomatic therapy, and one case died of recurrent hemorrhage. The survival cases were followed up for 8 months, GOS was 5 grade in 9 cases, 4 grade in 2 cases, 3 grade in one case and grade 1 in one case. Conclusions Stereotactic puncture and catheter drainage is a safe and effective method for the treatment of hypertensive cerebellar hemorrhage.

DOI:10.3969/j.issn.1672-6731.2019.09.013