From: Surgical management of spontaneous posterior fossa hematoma: predictors of the neurological outcome
Radiological finding | All patients | 6 months outcome (GOS) | P-value | |
---|---|---|---|---|
Favorable GOS 4,5 (n = 25, 55.6%) | Unfavorable GOS 1,2,3 (n = 20, 44.4%) | |||
Location | ||||
Unilateral (hemispheric) | 29 (64.5%) | 15 (33.4%) | 14 31.1%) | |
Midline (vermian) | 10 (22.2%) | 6 (13.3%) | 4 (8.9%) | .725 |
Diffuse | 6 (13.3%) | 4 (8.9%) | 2 (4.4%) | |
Hematoma size (diameter) | ||||
> 3 cm | 33 (73.3%) | 22 (48.8%) | 11 (24.4%) | > 0.05 |
< 3 cm | 12 (26.7%) | 3 (6.7%) | 9 (20%) | |
Hematoma volume | ||||
> 10 mm | 18 (40%) | 5 (11.1%) | 13 (28.9%) | > 0.05 |
< 10 mm | 27 (60%) | 20 (44.4%) | 7 (15.5%) | |
Brainstem compression | ||||
Yes | 13 (28.9%) | 4 (8.9%) | 9 (20%) | .431 |
No | 32 (71.1%) | 21 (46.7%) | 11 (24.4%) | |
Hematoma expansion | ||||
Yes | 14 (31.1%) | 3 (6.7%) | 11 (24.4%) | 0.065 |
No | 31 (68.9%) | 18 (40%) | 13 (28.9%) | |
Tight posterior fossa | ||||
Yes | 19 (42.2%) | 5 (11.1%) | 14 (31.1%) | .202 |
No | 26 (57.8%) | 20 (44.4%) | 6 (13.3%) | |
4th ventricle (Kirollos grade) | ||||
Grade I | 25 (55.6%) | 17 (37.8%) | 8 (17.8%) | |
Grade II | 8 (17.8%) | 5 (11.1%) | 3 (6.7%) | < 0.001 |
Grade III | 12 (26.7%) | 3 (6.7%) | 9 (20%) | |
Quadrigeminal cistern (Taneda) | ||||
Grade I | 13 (28.9%) | 10 (22.2%) | 3 (6.7%) | |
Grade II | 19 (42.2%) | 12 (26.7%) | 7 (15.5%) | < 0.001 |
Grade III | 13 (28.9%) | 3 (6.7%) | 10 (22.2%) | |
Hydrocephalus on admission CT scan | ||||
Yes | 23 (51.1%) | 11 (24.4%) | 12 (26.7%) | |
No | 22 (48.9%) | 14 (31.1%) | 8 (17.8%) | < 0.001 |
Intraventricular hemorrhage | ||||
No IVH | 19 (42.2%) | 15 (33.4%) | 4 (8.9%) | |
4th ventricular IVH | 10 (22.2%) | 7 (15.5%) | 3 (6.7%) | 0.016 |
3rd ventricular IVH | 5 (11.1%) | 3 (6.7%) | 2 (4.4%) | |
Panventricular IVH | 11 (24.4%) | 0 | 11 (24.4%) |