CEREBELLAR HEMORRHAGE

Cerebellar hemorrhage represents about 5% to 10% of ICH cases, and despite its relatively low frequency, it is of great clinical importance because prompt diagnosis may lead to lifesaving emergency surgical intervention. The clinical presentation is typically with abrupt onset of vertigo, vomiting, headache, and inability to stand and walk. In those patients who are alert enough to undergo full neurologic examination, the classic findings include ipsilateral cerebellar ataxia, horizontal gaze palsy, and peripheral facial palsy as a triad that is highly suggestive of the diagnosis. Other signs of ipsilateral pontine tegmental involvement can be present, including trigeminal sensory loss, Horner syndrome, findings that occur in the absence of contralateral hemiplegia because the pressure effects of the cerebellar hematoma are exerted on the dorsal portion of the pons, sparing the basis pontis and the corticospinal tracts.

Related posts:

Hydrocephalus Memory Circuits Social Anxiety disorder Visual Inputs to the Hypothalamus Brain Death Cerebellovestibular Pathways

Stay updated, free articles. Join our Telegram channel

Join