Cerebellar Hemorrhage Follow-up
- Author: J Stephen Huff, MD, FACEP; Chief Editor: Helmi L Lutsep, MD more...
Further Outpatient Care
Physical and occupational therapy may be useful in many patients.
Further Inpatient Care
See the list below:
- Ideally, admit patients to the care of critical care physicians with expertise in managing intracranial hemorrhages.
- Careful monitoring for level of consciousness, vital signs, and ICP is needed for some patients.
- The risk of sudden deterioration is high and mandates the attention that is available in an intensive care unit.
- If immediate surgical intervention is deferred, a deteriorating clinical course may necessitate surgery at a later time.
- Posterior fossa craniotomy and evacuation of the hemorrhage may be necessary for patients with worsening clinical condition.
- If surgical therapy is prompt, some comatose patients still may have a good clinical outcome.
- Physical and occupational therapy may be useful in patients who are in stable condition.
For facilities without neurosurgical care for hemorrhage management, transfer to a specialized center should occur after stabilization if the patient is viable.
- Transfer should occur only after discussion with an accepting physician.
- Transfer personnel should be skilled in critical care management.
Progression of the hemorrhage with brainstem compression and/or destruction is the most serious complication.
Prognosis is largely related to the size and location of the hemorrhage and the patient's clinical condition at the time of clinical presentation.
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