Abstract
Objective: Describe clinical features, computed tomography (CT) imaging and some prognostic factors of acute cerebellar hemorrhage at the Neurology Center of Bach Mai Hospital.
Subjects: 68 patients diagnosed with acute cerebellar hemorrhage underwent CT scan at the Neurology Center of Bach Mai Hospital from July 2024 to June 2025.
Methods: Cross-sectional descriptive study with prospective analysis.
Results: The male/female ratio was 2.09, the average age was 67.7 ± 11.26 years. Among the risk factors, hypertension accounted for the highest rate of 82.4%. Regarding clinical symptoms, the most common clinical symptom was headache (86.8%), the group with impaired consciousness accounted for 16.2% and had worse progression than the group without impaired consciousness. Regarding the location of the lesion, the most common location of the lesion was the cerebellar hemisphere (69.1%), the group with bleeding in the cerebellar vermis accounted for 5.9% and had worse progression than the group with bleeding in the cerebellar hemisphere. Regarding prognostic factors, the group with hematoma volume greater than 3 cm3 (32.4%), the group with bleeding into the ventricles (48.5%), the group with compression on the brain stem (5.9%) had worse progression than the group without the above signs.
Conclusion: Studying 68 patients with acute cerebellar hemorrhage treated at the Neurology Center - Bach Mai Hospital from July 2024 to June 2025, we drew the following conclusion: factors leading to poor outcomes for patients with acute cerebellar hemorrhage include impaired consciousness, location of hemorrhage in the vermis, hematoma volume greater than 3 cm3, hemorrhage into the ventricles, and compression of the brainstem.