MANAGEMENT OF CEREBELLAR INFARCTION WITH MASS EFFECT: PDF OnlyMANAGEMENT OF CEREBELLAR INFARCTION WITH MASS EFFECTKoh, Merian MB.BS; Phan, Thanh G. FRACP; Wijdicks, Eelco F.M. MD Author Information Department of Neurology, Mayo Clinic, Rochester Minnesota Send reprint requests to: Eelco F.M. Wijdicks, MD, Department of Neurology, WBB, Mayo Clinic, 200 First Street, Rochester MN 55905. The Neurologist: May 2000 - Volume 6 - Issue 3 - p 172-176 Buy Abstract BACKGROUND Controversy exists regarding the timing of surgery and the surgical strategy for patients who have cerebellar infarction. REVIEW SUMMARY Cerebellar infarction with mass effect (pseudotumoral cerebellar infarction) has a higher prevalence than previously noted. Not all of these patients require surgical intervention. Surgery is likely to be beneficial for patients who deteriorate clinically and who have radiologic evidence of hydrocephalus or brainstem compression. Bias in patient selection has not clarified the issue of isolated ventricular drainage or suboccipital craniotomy in these patients. Half of the obtunded or comatose patients who had cerebellar infarction and were treated either by isolated ventricular drainage or suboccipital craniotomy made meaningful recovery. CONCLUSIONS Surgical intervention is indicated for patients who have cerebellar infarction with mass effect and who have deteriorated clinically. Either isolated ventricular drainage or suboccipital craniotomy may be beneficial for these patients. (THE NEUROLOGIST 6:172-176, 2000) © 2000 Lippincott Williams & Wilkins, Inc.