Cerebellar hemorrhage

Case contributed by Dr Balint Botz

Presentation

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

Patient Data

Age: 75
Gender: Male
CT
  • 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. 

PlayAdd to Share

Case information

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

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.