Abstract
AIM: The main objective of this study is to analyze the management options and the outcome of the patients presenting with acute cerebellar infarction. A total of 45 patients (male-34; female- METHODS: 11) admitted with acute cerebellar infarction (ischemic) in our hospital during December 2019 – December 2020, were analyzed prospectively. We analyzed the clinical presentation, radiological investigation, associated co-morbid illness and the clinical outcome following various management strategies. 30 patients were managed conservatively, out of whi RESULTS: ch 25 patients survived and 5 patients expired. 8 patients were managed with ventricular drainage alone. 6 of them improved, whereas 1 patient expired. 7 patients needed sub-occipital decompressive craniectomy and removal of infarct in our study. 2 out of 7 patients survived and the rest died. Overall mortality in our series was 14.6%. The management criterion CONCLUSION: mainly depends on periodic clinical & radiological evaluation. Even though, the optimal timing and surgical methods remains controversial. Ventricular drainage alone can be reserved for patients with ventricular dilatation & sub-occipital decompressive craniectomy with or without EVD can be advocated for those with acute deterioration with brainstem compression.
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