Sudden onset of headache with nausea and vomiting.
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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
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.
- 1. Dayes LA, Purtzer TJ, Shahhal I et-al. Acute spontaneous cerebellar hemorrhage. J Natl Med Assoc. 1986;78 (6): 495-9. Free text at pubmed - Pubmed citation
- 2. Auer LM, Auer T, Sayama I. Indications for surgical treatment of cerebellar haemorrhage and infarction. Acta Neurochir (Wien). 1986;79 (2-4): 74-9. Pubmed citation