{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T22:21:57Z","timestamp":1780525317196,"version":"3.54.1"},"reference-count":70,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:p>Evidence-based guidelines for the management of hemorrhagic and ischemic cerebellar stroke are sparse, and most available data come from Class III studies. As a result, opinions and practices regarding the nature and role of neurosurgical intervention vary widely. A comprehensive literature review was conducted to adjudicate several contentious issues, such as the difference in the management of cerebellar hemorrhage versus infarction, criteria for imaging to exclude an underlying structural lesion, the value of MRI for patient selection, the role of external ventricular drainage, the indications for operative management, the timing of surgical intervention, and various options of surgical technique, among others. Treatment algorithms proposed in several different studies are compared and contrasted. This analysis is concluded by a summary of the recommendations from the American Stroke Association, which advises that patients with cerebellar hemorrhage who experience neurological deterioration or who have brainstem compression and\/or hydrocephalus due to ventricular obstruction should undergo surgical evacuation of the hemorrhage as soon as possible, and that initial treatment of such patients with ventricular drainage alone rather than surgical removal of the hemorrhage is not recommended.<\/jats:p>","DOI":"10.3171\/2012.2.focus11369","type":"journal-article","created":{"date-parts":[[2012,3,30]],"date-time":"2012-03-30T11:02:33Z","timestamp":1333105353000},"page":"E1","source":"Crossref","is-referenced-by-count":34,"title":["Controversies in the neurosurgical management of cerebellar hemorrhage and infarction"],"prefix":"10.3171","volume":"32","author":[{"given":"Arun Paul","family":"Amar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0320001","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1007\/BF01407448","article-title":"Indications for surgical treatment of cerebellar haemorrhage and infarction","volume":"79","author":"Auer","year":"1986"},{"key":"b2-0320001","series-title":"Surg Gynecol Obstet","first-page":"223","article-title":"Case of traumatic haemorrhage into the left lateral lobe of the cerebellum, treated by operation, with recovery","volume":"3","author":"Ballance","year":"1906"},{"key":"b3-0320001","series-title":"Circulation","first-page":"e391","article-title":"Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update: a guideline from the American Heart Association\/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group","volume":"116","author":"Broderick","year":"2007"},{"key":"b4-0320001","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"905","DOI":"10.1161\/01.STR.30.4.905","article-title":"Guidelines for the management of spontaneous intracerebral hemorrhage: a statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association","volume":"30","author":"Broderick","year":"1999"},{"key":"b5-0320001","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"957","DOI":"10.1161\/01.STR.23.7.957","article-title":"Treatment of cerebellar infarction by decompressive suboccipital craniectomy","volume":"23","author":"Chen","year":"1992"},{"key":"b6-0320001","series-title":"Neurosurg Rev","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1007\/s10143-010-0279-0","article-title":"Spontaneous cerebellar hemorrhage\u2014experience with 57 surgically treated patients and review of the literature","volume":"34","author":"Dammann","year":"2011"},{"key":"b7-0320001","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1007\/BF01401454","article-title":"Prognostic factors in the treatment of cerebellar haemorrhage","volume":"131","author":"Donauer","year":"1994"},{"key":"b8-0320001","series-title":"BMJ","doi-asserted-by":"publisher","first-page":"1335","DOI":"10.1136\/bmj.1.4979.1335","article-title":"Cerebellar softening; a surgical emergency","volume":"1","author":"Fairburn","year":"1956"},{"key":"b9-0320001","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"1180","DOI":"10.1136\/jnnp.57.10.1180","article-title":"Prospective evaluation of cerebral angiography and computed tomography in cerebral haematoma","volume":"57","author":"Halpin","year":"1994"},{"key":"b10-0320001","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"2126","DOI":"10.1161\/01.STR.28.11.2126","article-title":"Surgery for primary intracerebral hemorrhage: is it safe and effective? 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