[Usefulness of aspiration surgery for elderly patients with hypertensive cerebellar hemorrhage]

We report two cases with hypertensive cerebellar hemorrhage who were successfully treated with frameless stereotaxic aspiration. First case, an 85-year-old man with hypertension had a large-sized hematoma in left cerebellar hemisphere. Emergency aspiration for cerebellar hemorrhage was carried out through a suboccipital burr hole. He had a good recovery at discharge. Second case, an 84-year-old female with hypertension showed right cerebellar hemorrhage. She had been in somnolence state for one month with conservative treatment. Then, aspiration surgery for the hematoma was carried out through a suboccipital burr hole. Her neurological condition was ameliorated. Frameless stereotaxic aspiration for cerebellar hemorrhage through suboccipital burr hole is less invasive and useful procedure, especially for elderly patients.