Cerebellar hemorrhage

Case contributed by Dr RC

Presentation

Sudden onset of headache with nausea and vomiting.

Patient Data

Age: 85
Gender: Female
CT

CT Brain

Posterior fossa hemorrhage involving the right side cerebellar hemisphere. It extends medially, involving the 4th ventricle. Intra-ventricular blood noted within the 4th, 3rd and right lateral ventricle 

Mild cerebellar tonsillar herniation noted at the foramen magnum with compression of the brainstem due to the mass effect of the hemorrhage.

Dilatation of temporal horn of lateral ventricles, representing early hydrocephalus

Case Discussion

A case of an elderly patient with hypertension presenting with large cerebellar hemorrhage with early tonsillar herniation.

Given the rapidity of the bleed and the comorbidities, the patient received palliative care.  

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Case information

rID: 32511
Published: 29th Nov 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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