Neurosurgical treatment of cerebellar infarct: Open craniectomy versus endoscopic surgery.

Surgical neurology international Pub Date : 2024-11-29 eCollection Date: 2024-01-01 DOI:10.25259/SNI_740_2024

Keyvan Mostofi, Kamran Shirbache, Ali Shirbacheh, Morad Peyravi

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Abstract

Background: Cerebellar infarction can lead to severe morbidity and mortality. Current surgical options include decompressive craniectomy (DC) and endoscopic minimally invasive evacuation of necrotic tissue (MEN), but no randomized studies compare their outcomes.This study compares outcomes between DC and MEN in patients with cerebellar infarct using the Glasgow Coma Scale (GCS) and Scale for the Assessment and Rating of Ataxia (SARA) scores.

Methods: Retrospective review of 37 patients treated for cerebellar infarct between 2010 and 2020. Patients were divided into DC and MEN groups, with outcome measures assessed postoperatively.

Results: Both techniques produced similar improvements in GCS and SARA scores, though MEN showed faster healing time and shorter surgery duration.

Conclusion: MEN may offer advantages over traditional surgery in terms of healing and shorter operative time, warranting further investigation.

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Surgical neurology international

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