Presentation
Ataxia and impaired consciousness. Uncontrolled hypertension and previous small intracranial (corona radiata) hemorrhage a year ago.
Patient Data
Age: 65 years
Gender: Male
From the case:
Cerebellar hemorrhage
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- hyperdense area, measuring 39 x 27 mm, seen in the right cerebellar hemisphere and vermis with mild surrounding edema. No evidence of intraventricular extension
- gliotic area in the left corona radiata (corresponds to old intracranial hemorrhage)
- lacunar infarcts in bilateral basal ganglia
- age related atrophic changes
Case Discussion
The case represents cerebellar hemorrhage in a known hypertensive patient.
A cerebellar hemorrhage is a form of intracranial hemorrhage and is most frequently seen in the setting of poorly controlled hypertension, although the can of course also be secondary to an underlying lesion.
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