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Scientific Communications: acute 01.00 - ACUTE ISCHEMIC STROKE MANAGEMENT - 01.01 - ACUTE MANAGEMENT - Neither thrombolysis nor thrombectomy O - ESOC25-300 SYSTEMATIC REVIEW AND META-ANALYSIS ON MORTALITY AND FUNCTIONAL OUTCOME IN PATIENTS WITH LARGE CEREBELLAR INFARCTION TREATED WITH NEUROSURGERY Myriam Perla Mazloum 1 , Alberto Coccia 1,2 , Julien Labreuche 3 , Fabien Almairac 4 , Hilde Henon 5 , Barbara Casolla 1 1 Universit Cte d'Azur, UR2CA-URRIS, Unit Neurovasculaire, CHU Hopital Pasteur 2, Nice, France, 2 SC Neurologia con centro ictus, ASL 2 Liguria, Ospedale Santa Corona, Pietra Ligure, Italy, 3 Department of Biostatistics, CHU Lille, Lille, France, 4 Universit Cote d'Azur UR2CA-PIN, Neurosurgery Department, Pasteur 2 Hospital, Nice, France, 5 Lille University Hospital, Lille, France Background and Aims: Management of large cerebellar infarctions with potential malignant evolution is highly heterogenous across physicians

Pre-treatment testing should include: Complete Blood Count (CBC) To measure blood cell levels To check platelet numbers To identify other blood abnormalities Comprehensive Metabolic Panel To check potassium levels To evaluate kidney function To assess liver function To check other essential minerals in blood Heart Health Assessment Especially in elderly patients Those with known heart conditions Patients with risk factors for blood clots Recommendations for Safe B12 Use Always get appropriate blood tests before starting B12 therapy Consider slower replacement protocols in high-risk patients: Elderly individuals Those with severe deficiency Patients with heart conditions Those with poor nutrition Regular monitoring during treatment: Potassium levels Platelet counts Heart health Nerve symptoms Early intervention for complications: Potassium replacement when needed Blood-thinning medications in high-risk cases Careful management of fluid levels Treatment of nerve symptoms For Off-Label Use: Consult healthcare providers before starting Undergo proper medical screening Watch for side effects Regular medical supervision Know warning signs Conclusion While B12 replacement therapy is crucial for treating deficiency, it carries significant risks that can be minimized through proper pre-treatment testing and monitoring

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