Remote cerebellar hemorrhage

Case contributed by A.Prof Frank Gaillard

Presentation

Lumbar laminectomy and discectomy 1/52 ago. Since then ongoing headache and photophobia.

Patient Data

Age: 60 years
MRI

In the right cerebellar hemisphere is a parenchymal hemorrhage with thin surrounding enhancement and a small amount of edema. No nodular contrast enhancement here or elsewhere to suggest underlying lesion. No abnormal vessels on MRA. The remainder of the brain is unremarkable in appearance.

Conclusion: In this clinical setting, features are almost certainly those of a postoperative remote cerebellar hemorrhage.

CT

1 week later

Poorly defined ovoid focus of hypoattenuation in the superior aspect of the right cerebellar hemisphere corresponds to the location of blood products demonstrated on the prior MRI. No CT evidence of recent acute hemorrhage. The remainder of the brain parenchyma is unremarkable. Ventricles and cortical sulci within normal limits. No hydrocephalus. Imaged para nasal sinuses and mastoid air cells were aerated. No osseous lesion.

Case Discussion

Remote cerebellar hemorrhages are uncommon and are important to recognize. 

PlayAdd to Share

Case information

rID: 64673
Published: 3rd Jan 2019
Last edited: 3rd Jan 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.