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Abstract

ABSTRACT
L’hématome cérébelleux est une forme redoutée des accidents vasculaires cérébraux à cause de par sa proximité avec le tronc cérébral et sa localisation dans l’espace exiguë qu’est la fosse cérébrale postérieure. La cause hypertensive est le plus souvent retrouvée. Les auteurs rapportent un cas d’hématome cérébelleux pris en charge au Centre des Urgences de Yaoundé. La dérivation ventriculaire externe a fait suite à l’évacuation par craniotomie de l’hématome. L’évolution post opératoire a été marquée par des complications à type de tétraplégie régressive, d’infections nosocomiales et de thrombophlébite.


RÉSUMÉ
Cerebellar hematoma is a dreaded form of stroke. This is due to its proximity to the brain stem and its location in the cramped space of the posterior cerebral fossa. Cerebellar hemorrhages are mostly caused by hypertension. We report a case of cerebellar hemorrhage that was managed at the Yaounde Emergency Center. External ventricular derivation followed craniotomy for evacuation of the hematoma evacuation. Post chirurgical course was marked by complications such as regressive tetraplegia, nosocomial infections and thrombophlebitis.


 

Keywords

Non traumatic cerebellar hemorrhage, surgery, complications, Yaounde Hématome cérébelleux non traumatique, chirurgie, complications, Yaoundé

Article Details

Author Biographies

Ngouatna Djeumakou Serge Rawlings, University of Yaounde I

Assistant département de chirurgie et spécialités

Mossus Yannick

Assistant département des OOO

Tchokam Lionnelle, Centre des Urgences de Yaoundé

Médecin anesthésiste-réanimateur

Thome Lutresse, University of Yaounde I

Interne en anesthésie réanimation

How to Cite
Ernestine Renée, B. A. ., Ngouatna Djeumakou Serge Rawlings, Mossus Yannick, Tchokam Lionnelle, Thome Lutresse, & Eloundou Ngah Joseph. (2022). Difficultés de la Prise en Charge d’un Hématome Cérébelleux non Traumatique : À Propos d’un Cas Clinique au Centre des Urgences de Yaounde. HEALTH SCIENCES AND DISEASE, 23(8). Retrieved from https://hsd-fmsb.org/index.php/hsd/article/view/3793

References

  1. Pong V, Chan KH, Chong BH, Lui WM, Leung GK, Tse HF, et al. Long-Term Outcome and Prognostic Factors After Spontaneous Cerebellar Hemorrhage. Cerebellum. 2012 Dec;11(4):939–945.
  2. Samarasekera N, Fonville A, Lerpiniere C, et al. Influence of intracerebral hemorrhage location on incidence, characteristics, and outcome: population-based study. Stroke 2015;46(2):361–8.
  3. Little JR, Tubman DE, Ethier R. Cerebellar hemorrhage in adults. Diagnosis by computerized tomography. J Neurosurg. 1978 Apr;48(4):575–579.
  4. Han J, Lee HK, Cho TG, et al. Management and outcome of spontaneous cerebellar hemorrhage. J Cerebrovasc Endovasc Neurosurg 2015;17:185–93.
  5. Cohen ZR, Ram Z, Knoller N, Peles E, Hadani M. Management and outcome of non-traumatic cerebellar haemorrhage. Cerebrovasc Dis. 2002;14:207–13.
  6. Dammann P, Asgari S, Bassiouni H, Gasser T, Panagiotopoulos V, Gizewski ER, et al. Spontaneous cerebellar hemorrhage--experience with 57 surgically treated patients and review of the literature. Neurosurg Rev. 2011 Jan;34(1):77–86.
  7. Rau CS, Liang CL, Lui CC, Lee TC, Lu K. Quadriplegia in a patient who underwent posterior fossa surgery in the prone position. Case report. J Neurosurg. 2002 Jan;96(1 Suppl):101-3.
  8. Yahanda AT, Chicoine MR. Paralysis Caused by Spinal Cord Injury After Posterior Fossa Surgery: A Systematic Review. World Neurosurg. 2020 Jul;139:151-157.
  9. Al Safatli D, Guenther A, McLean AL, Waschke A, Kalff R, Ewald C. Prediction of 30-day mortality in spontaneous cerebellar hemorrhage. Surg Neurol Int. 2017 Nov 20;8:282.

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