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Cerebellar and intraventricular hemorrhage with obstructive hydrocephalus

Case contributed by Ayush Goel


Found unconscious

Patient Data

Age: 80 years
Gender: Female

Cerebellar hemorrhage (about 3.8 x 2.4 cm) with extension into the ventricles. There is obstructive hydrocephalus due to hematoma in the 4th ventricle, associated with periventricular CSF seepage.

Case Discussion

Cerebellar hemorrhage is a form of intracranial hemorrhage and is most frequently seen in the setting of poorly controlled hypertension, although this can of course also be secondary to an underlying lesion (e.g. tumor or vascular malformation) or due to supratentorial surgery (see remote cerebellar hemorrhage).

Larger bleeds can impair consciousness and obstruct the fourth ventricle resulting in obstructive hydrocephalus.

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