Spontaneous posterior fossa hemorrhage: profile and functional outcome in patients attending Tanta stroke unit

BackgroundThe most dangerous and least curable type of stroke is spontaneous intracerebral hemorrhage (ICH), and prognosis is highly correlated with location and size in the posterior fossa. The objective of this work was to estimate the frequency of posterior fossa hemorrhage (PFH) in Tanta Univers...

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Bibliographic Details
Published in:	The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Vol. 60; no. 1; pp. 78 - 8
Main Authors:	Nassar, Mahmoud Hamed, Fouda, Basem Hamdy, Elsaid, Ahmed Safwat Abd ElMohsen, Bahnasy, Wafik Said, El-Seidy, Ehab Ahmed Shawky, Kishk, Ahmed Mustafa
Format:	Journal Article
Language:	English
Published:	Mumbai Springer Nature B.V 24-06-2024 SpringerOpen
Subjects:	Hemorrhage Modified Rankin scale Posterior circulation stroke Posterior fossa hemorrhage Stroke Tanta University Hospital
Online Access:	Get full text
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Summary:	BackgroundThe most dangerous and least curable type of stroke is spontaneous intracerebral hemorrhage (ICH), and prognosis is highly correlated with location and size in the posterior fossa. The objective of this work was to estimate the frequency of posterior fossa hemorrhage (PFH) in Tanta University Hospitals, as well as identify functional outcomes and mortality in PFH.MethodsThis study was performed on 33 posterior fossa hemorrhagic patients and 119 posterior ischemic stroke patients (PCIS) submitted to the CT brain and the MRI brain, using the following scales: GCS and NIHSS, and the intracerebral hemorrhage scale (ICH score).ResultsPosterior fossa hemorrhage (PFH) represents 16.83% of total hemorrhagic stroke in the ER. Vertigo and DCL are more common in PFH (60.6%, 48.4%) than in PCIS. 82% of PFH patients had hypertension (HTN) hemorrhage. The cerebellum is the most common site for PFH (48%), pontine (24%), thalamic (18%), and midbrain (9%). PFH had unfavorable outcomes in 55% of the studied patients; the MRS mean was 4; and 39% died in the follow-up.ConclusionPosterior fossa hemorrhage is a potentially serious neurovascular emergency associated with complex symptomatology. PFH demonstrates diverse prognoses depending on the location of the intracerebral hemorrhage and the size of the hematoma.
ISSN:	1110-1083 1687-8329
DOI:	10.1186/s41983-024-00850-8