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Cerebellar hemorrhage

Case contributed by P T

Presentation

Sudden onset of headache with nausea and vomiting.

Patient Data

Age: 85 years
Gender: Female

CT Brain

ct

Posterior fossa hemorrhage involving the right cerebellar hemisphere. It extends medially, involving the 4th ventricle. Intraventricular 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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