{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:36:38Z","timestamp":1791434198787,"version":"4.3.3"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[1994,2]]},"abstract":"<jats:p>Because the timing and strategy of surgical intervention in massive cerebellar infarction remains controversial, we report our experience with the management of 52 such patients.<\/jats:p>\n          <jats:p>Case records, computed tomographic scans, surgical reports, and angiograms of 52 patients with space-occupying cerebellar infarction defined by computed tomographic criteria were reevaluated with regard to clinical course, etiology, therapeutic management, mortality, and functional outcome.<\/jats:p>\n          <jats:p>In most cases clinical deterioration started on the third day after stroke, and a comatose state was reached within 24 hours. Sixteen patients were treated medically, and 30 by suboccipital craniectomy (22 plus ventriculostomy, 12 plus tonsillectomy). Ten patients primarily had ventriculostomy, which in 4 patients was supplemented by craniotomy because of continuing deterioration. Twenty-nine patients made a good recovery, 15 remained disabled, and 8 died. Even comatose patients had a 38% chance of a good recovery with decompressive surgery. Age older than 60 years (P = .0043) and probably initial brain stem signs (P = .0816) and a late clinical stage (P = .0893) were linked with a fatal or disabling outcome.<\/jats:p>\n          <jats:p>Decompressive surgery should be the treatment of choice for massive cerebellar infarction causing progressive brain stem signs or impairment of consciousness.<\/jats:p>","DOI":"10.1161\/01.str.25.2.372","type":"journal-article","created":{"date-parts":[[2011,6,17]],"date-time":"2011-06-17T20:08:03Z","timestamp":1308341283000},"page":"372-374","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":128,"title":["Space-occupying cerebellar infarction. Clinical course and prognosis."],"prefix":"10.1161","volume":"25","author":[{"given":"C R","family":"Hornig","sequence":"first","affiliation":[{"name":"Department of Neurology, Justus Liebig University, Giessen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D S","family":"Rust","sequence":"additional","affiliation":[{"name":"Department of Neurology, Justus Liebig University, Giessen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O","family":"Busse","sequence":"additional","affiliation":[{"name":"Department of Neurology, Justus Liebig University, Giessen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Jauss","sequence":"additional","affiliation":[{"name":"Department of Neurology, Justus Liebig University, Giessen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Laun","sequence":"additional","affiliation":[{"name":"Department of Neurology, Justus Liebig University, Giessen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","container-title":["Stroke"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/pdf\/10.1161\/01.STR.25.2.372","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T22:23:09Z","timestamp":1715552589000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.STR.25.2.372"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,2]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1994,2]]}},"alternative-id":["10.1161\/01.STR.25.2.372"],"URL":"https:\/\/doi.org\/10.1161\/01.str.25.2.372","relation":{},"ISSN":["0039-2499","1524-4628"],"issn-type":[{"value":"0039-2499","type":"print"},{"value":"1524-4628","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,2]]},"assertion":[{"value":"1994-02-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}