Massive cerebellar infarction: "conservative" management.

Abstract
Patients (11) with large cerebellar infarctions were admitted recently to the service. Of them, 8 showed evidence of hydrocephalus on the CT [computed tomography] scan examination. Five were treated with controlled external ventricular drainage and 6 were managed conservatively. One death, most likely due to progressive brainstem infarction, occurred. The outcome was favorable in the other patients. Prompt treatment of the acute obstructive hydrocephalus may obviate the need for posterior fossa decompression in patients with massive cerebellar infarction.