Cerebellar hemorrhage

Case contributed by Dr Balint Botz


Ictal headache and neck pain, progressive confusion quickly resulting in comatose state.

Patient Data

Age: 75
Gender: Male
  • There is a circumsribed hemorrhagic focus in the medial part of the right cerebellar lobe (evaluation of the posterior cranial fossa is somewhat more challenging due to metal artifacts caused by dental implants).
  • The hemorrhage expanded into the third and fourth ventricle, as well as the dorsal horns of the lateral ventricles.
  • Consequent moderate hydrocephalus is most easily noted by looking at the lateral ventricles. Cerebellar tonsillar herniation has not yet developed.
  • Marked periventricular and deep white matter hypointensities indicate advanced small vessel ischemia. 

Case Discussion

Typical presentation of cerebellar hemorrhage that expanded into the ventricular system, further worsening the prognosis. 

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Case information

rID: 63003
Published: 9th Sep 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: University of Pécs

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