Association of Surgical Hematoma Evacuation vs Conservative Treatment with Functional Outcome in Patients With Cerebellar Intracerebral Hemorrhage

Abstract

To the Editor; We have carefully read the study by Kuramatsu et al. on “Association of Surgical Hematoma Evacuation vs Conservative Treatment with Functional Outcome in Patients With Cerebellar Intracerebral Hemorrhage” (2). The incidence of cerebellar intracerebral hemorrhage (CIH) approaches 5–10% of all intracerebral hematomas. CIH is characterized by elevated intracranial pressure, acute onset of incoordination (vertigo and ataxia), or both (4). Clinical presentations vary from headache and dizziness to rapid deterioration of consciousness and coma in severe cases (1). Fortunately, we have had the opportunity to read this study of clear guiding significance. The fact is to select an operative indication in patients with CIH is a long-standing problem nthat plagues neurosurgery and neurologists. If the surgical pointer could be further clarified, patients with CIH might have a clearer shunt and treatment protocol (whether the patient shall undergo surgical hematoma evacuation or conservative treatment). Consequently, we are very interested in this study.