Introduction. Spontaneous cerebellar hemorrhage (SCH) represents approximately 4.2–16.4% of all intracerebral hemorrhage (ICH), has a high mortality and is an important clinical problem.
The purpose. Obtaining new data about prognostic significance of level of consciousness in patients with spontaneous cerebellar hemorrhage (SCH) at the acute phase.
Materials and methods. We analyzed the data of the clinical-neurological examination and the results of the treatment of 96 patients with SCH at the acute phase. Level of consciousness during hospitalization was evaluated using the Glasgow Coma Scale (GCS). Outcome was assessed with the Glasgow Outcome Scale (GOS).
Results and discussion. 30 patients were admitted with an admission GCS score of 15, 20 with a score of 14, 6 with a score of 13, 5 with a score of 12, 8 with a score of 10, 5 with a score of 9, 7 with a score of 8, 4 with a score of 7, 1 with a score of 6, 2 with a score of 5, 4 with a score of 4 and 4 with a score of 3. The initial mean ± SD of GCS was 11.68±3.77. Using the GOS scored of 5–4 vs. 3–2 vs. 1 patients classified retrospectively into favorable (n=54, 56.3%), poor (n=14, 14.6%) and fatal (n=28, 29.2%) outcome groups.
Conclusions. Initial GCS ≥ 13 is strong predictive factor of favorable outcome. GCS score of less than 9 is strong predictive factor of fatal outcome.