ArticleBrain & spine2025
Surgical indications and techniques in ischemic cerebellar stroke - results from an international survey.
Article in Brain & spine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- External Ventricular Drainage for Hydrocephalus Following Cerebellar Infarction: A Scoping Review.Journal of clinical medicine · 2025Review
- Diagnostic Pitfalls of CT in Malignant Superior Cerebellar Artery Infarction: Implications for Treatment Decisions and Future Management Strategies.Journal of clinical medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Space-occupying ischemic cerebellar stroke (SOCS) is a neurological emergency, often leading to rapid deterioration due to brainstem compression and hydrocephalus. Research question: The aim of this survey was to characterize surgical indications and techniques in SOCS. Methods: An international survey was conducted, comprising 21 items. The first section inquired about general center characteristics and caseload. Secondly, surgical indications and techniques were investigated. The survey was carried out online via GoogleForms® from October to December 2024. Results: A total of 216 answers were received. Most respondents worked at an academic hospital (57 %) and were consultants (76 %). A certified stroke unit was present in 169 cases (87 %), and a dedicated neuro-ICU was also common (65 %). While most respondents (189/195, 97 %) performed surgery for SOCS, less than half (93/195, 48 %) had standardized indications for it. Infarct volume was considered when indicating surgery in 136/195 (70 %) of cases, with 30 mL being the most common threshold (62/136, 46 %). Concomitant brainstem infarction did not represent a contraindication for surgery. Suboccipital decompressive craniectomy was the most common surgical technique (155/194, 80 %), but a standardized craniectomy size was seldom (75/155, 48 %). Infarct resection was additionally performed in 125/194, 64 % cases. External ventricular drains (186/194, 86 %), duraplasty (112/194, 52 %), and resection of C1 arch (62/194, 29 %) were variably added to surgery. Conclusions: Our survey reveals that while surgery is routinely performed for SOCS, neither indications nor techniques are standardized. Evidence must grow stronger to create guidelines to indicate and delineate surgery in SOCS.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.