Methods: 14 hypertensive cerebellar hemorrhage cases that Glasgow coma scale score 13 or below and diameter of hematoma 3 cm or greater and operated urgently were evaluated. The age of the cases was ranged 58-76. The patients were grouped according to computed topographic scans and Glasgow coma scale score. All cases were operated with suboccipital craniectomy approach.

Results: The most frequent symptom was headache. In most of the cases hemorrhage was in right cerebellar hemisphere. The hematom diameter was larger then 3 cm in patients that Glasgow coma scale score 13 or below. There was hydrocephalus in six cases before the operation.

Conclusion: it was concluded that GCS score was the main determinant in the postoperative prognosis of these cases. In addition, because of the improvement of the hydrocephalus following the hematoma evacuation in six patients, the placement of the intraventricular catheter may be planned on early postoperative follow up. Anahtar Kelimeler : Cerebellar hemorrhage, glasgow coma scale, hydrocephalus, hypertension, surgical treatment