Cerebellar haemorrhage

Case contributed by A.Prof Frank Gaillard

Presentation

Sudden loss of consciousness.

Patient Data

Age: Elderly
Gender: Male
CT

CT brain

A large cerebellar haemorrhage is present in the vermis and left hemisphere extending into the 4th ventricle. Blood has refluxed into the third ventricle and is seen in the occipital horns of the lateral ventricles with obstructive hydrocephalus. 

The haematoma is exerting marked mass effect compressing the pons. 

An old infarct involves the right parietal region. 

Case Discussion

This case illustrates typical appearances of a large cerebellar haematoma usually seen in the setting of poorly controlled hypertension. They were already impaired from the previous stroke and were being cared for in a nursing home. It was elected, in accordance to the patient's and wishes and those of his family to not treat this event. This patient passed away shortly after the scan was obtained. 

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Case information

rID: 7730
Case created: 24th Nov 2009
Last edited: 26th Apr 2016
Inclusion in quiz mode: Included

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