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Cerebellar hemorrhage

Case contributed by Ayush Goel

Presentation

Ataxia and impaired consciousness. Uncontrolled hypertension and previous small intracranial (corona radiata) hemorrhage a year ago.

Patient Data

Age: 65 years
Gender: Male
ct
  • 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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