The analysis of correlative factors affecting long-term outcomes in patients with Solid Cerebellar Hemangioblastomas

• Postoperative hemorrhage is a factor that affect final outcomes.
• Skillful microsurgical technique and strategy is critical to avoid disastrous intraoperative bleeding.
• Embolization before surgery is no beneficial in affecting final outcomes.

ObjectiveAnalyze the factors affecting postoperative outcomes in patients with solid cerebellar hemangioblastomas.Patients and methodsWe retrospectively analyzed the clinical data of 22 patients with sporadic solid cerebellar hemangioblastomas. Data regarding the clinical materials and imaging features, diameter of the lesion, operative approaches and postoperative complications were analyzed in all patients. The factors that may affect the recovery of postoperative patients were analyzed by univariate analysis and logistic regression multivariate analysis.ResultsAll 22 patients were diagnosed with sporadic solid cerebellar hemangioblastomas; total resection was achieved in 21 of 22 patients (95.5%). Six patients with combined obstructive hydrocephalus received a ventricle-peritoneal shunt preoperatively. The mean duration of the follow-up period was 25.5 months (range, 6–72 months). Tumor recurrence occurred in two patients with poor prognosis at 12 months and 56 months after surgery. According to outcome, patients were divided into the poor group (4 of 22 patients, 18.2%), in which neurological symptoms persisted postoperatively, or were worse than preoperatively, and the good group (18 of 22 patients, 81.8%) with no neurological signs or improved symptoms postoperatively. After univariate analysis, the factor affecting the final outcome was postoperative hemorrhage (P = 0.003). Moreover, multiple logistic regression analysis via R software indicated that postoperative hemorrhage (p = 0.008) was correlated with outcomes.ConclusionsPostoperative hemorrhage is a factor correlated with final outcomes of patients with sporadic solid cerebellar hemangioblastomas.