Objective: To investigate the clinical efficacy of small bone flap craniotomy for hematoma elimination in the treatment of hypertensive cerebellar hemorrhage. Methods: The clinical data of 23 patients with hypertensive cerebellar hemorrhage treated with small bone flap craniotomy for hematoma elimination was retrospectively analyzed. CT scan were reexamined after operation based on the individual condition and GOS (Glasgow outcome scale) scores of 1 month and 3 months follow-up after operation. Results: CT scan was performed in all patients within 24 hours after operation. Among them

22 cases of hematoma were completely eliminated and 1 case was mostly eliminated (residual volume of hematoma<10%). One month after operation

20 cases had GOS score of 5 points

3 cases had 4 points. Routine follow-up of 3 months after operation

22 cases had GOS score 5 points and 1 case had 4 points. Conclusion: The "small bone flap hematoma craniotomy for hematoma elimination" in the treatment of hypertensive cerebellar hemorrhage has the advantages of less trauma

short operation time

less complications

quick recovery and optimistic prognosis

which is worthy of promotion and application in hospitals with mature microscopic technology.