Predictors of Neurological Deterioration during Admission for Patients with Cerebellar Strokes

Objective: Despite less common, cerebellar stroke frequently results in unfavorable outcomes, especially after deterioration. Therefore, this study was aimedto identify the significant predictors of neurological deterioration during admission (NDDA) ischemic and hemorrhagic strokes.Material Methods: We retrospectively reviewed all medical records patients diagnosed with strokes; 2002-2018, Songklanagarind Hospital. Comparison patients’ demographic data, initial clinical presentations, neuroradiological results, timing signs NDDA, outcomes between strokes were descriptively analyzed. Logistic regression model applied for determining NDDA from presentations.Results: From this, 74 100 eligible. They comprised 42 (57.0%) ischemia (CI) 32 (43.0%) hemorrhage (CH). Elevated diastolic blood pressure (DBP) neuro-radiological evidences suggesting increased posterior cranial fossa significantly prevalent patients. found 31 (42.0%), without difference CI CH. (56.8%), had poor outcomes. The independent DBP 120 mmHg (adjusted odds ratio [adj. OR] 15.39, 95% 1.58- 149.59; p-value=0.004), time onset to arrival (adj. OR 0.98, 0.97-1.00; p-value=0.044), hemispheric at presentation 0.22, 0.06-0.75; p-value=0.012).Conclusion: CH not an predictor overall strokes. Only high predicted NDDA; whereas, arrival, showed protective impact.