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