Cerebellar hemorrhage in adults

Diagnosis by computerized tomography

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✓ A series of 10 adult patients with cerebellar hemorrhage diagnosed by computerized tomography (CT) is described. Hypertension was the most common etiological factor, accounting for 70% of the cases. The clinical presentation appeared to fall into two basic groups. The first group (60% of the cases) ran a progressive course with early brain-stem compression. The second group had a benign course with findings of focal cerebellar dysfunction. The CT findings reflected the two clinical categories. The scans of Group 1 patients revealed a large hematoma (≥ 3 cm) and substantial ventricular dilatation. In contrast, scans of Group 2 patients demonstrated a small hematoma (< 3 cm) without ventricular dilatation. Use of CT scanning allowed the accurate differentiation of cerebellar hemorrhage from primary brain-stem and intraventricular hemorrhage. The findings of the CT investigations proved very helpful in defining appropriate therapy.

Article Information

Address reprint requests to: John R. Little, M.D., Montreal Neurological Institute, 3801 University Street, Montreal, Quebec H3A 2B4, Canada.

© AANS, except where prohibited by US copyright law.

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    Case 1. Computerized tomography scans of 62-year-old woman demonstrate a large hematoma in the medial portion of the right cerebellar hemisphere (left). Moderate dilatation of the lateral ventricles is present (right).

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    Case 9. Computerized tomography scan of a 34-year-old woman demonstrates a small hematoma in the medial portion of the left cerebellar hemisphere. There is no evidence of lateral ventricle dilatation.

References

1.

Ambrose J: Computerized x-ray scanning of the brain. J Neurosurg 40:6796951974Ambrose J: Computerized x-ray scanning of the brain. J Neurosurg 40:679–695 1974

2.

Dinsdale HB: Spontaneous hemorrhage in the posterior fossa. Arch Neurol 10:2002171964Dinsdale HB: Spontaneous hemorrhage in the posterior fossa. Arch Neurol 10:200–217 1964

3.

Freeman REOnofrio BMOkazaki Het al: Spontaneous intracerebellar hemorrhage. Diagnosis and surgical treatment. Neurology 23:84901973Freeman RE Onofrio BM Okazaki H et al: Spontaneous intracerebellar hemorrhage. Diagnosis and surgical treatment. Neurology 23:84–90 1973

4.

Johannsson SH: Hypertensive and normotensive intracerebral haemorrhage. Acta Psychiatr Neurol Scand (Suppl 150):90941961Johannsson SH: Hypertensive and normotensive intracerebral haemorrhage. Acta Psychiatr Neurol Scand (Suppl 150):90–94 1961

5.

Kinkel WRJacobs L: Computerized axial transverse tomography in cerebrovascular disease. Neurology 26:9249301976Kinkel WR Jacobs L: Computerized axial transverse tomography in cerebrovascular disease. Neurology 26:924–930 1976

6.

Little JRBlomquist GA JrEthier R: Intraventricular hemorrhage in adults. Surg Neurol 8:1431491977Little JR Blomquist GA Jr Ethier R: Intraventricular hemorrhage in adults. Surg Neurol 8:143–149 1977

7.

Lukin RRChambers AATomsick TA: Cerebral vascular lesions: infarction, hemorrhage, aneurysm, and arteriovenous malformation. Semin Roentgenol 12:77891977Lukin RR Chambers AA Tomsick TA: Cerebral vascular lesions: infarction hemorrhage aneurysm and arteriovenous malformation. Semin Roentgenol 12:77–89 1977

8.

Müller HRWüthrich RWiggli Uet al: The contribution of computerized axial tomography to the diagnosis of cerebellar and pontine hematomas. Stroke 6:4674751975Müller HR Wüthrich R Wiggli U et al: The contribution of computerized axial tomography to the diagnosis of cerebellar and pontine hematomas. Stroke 6:467–475 1975

9.

New PFJScott WR: Computed Tomography of the Brain and Orbit (EMI Scanning). Baltimore: Williams and Wilkins1975New PFJ Scott WR: Computed Tomography of the Brain and Orbit (EMI Scanning). Baltimore: Williams and Wilkins 1975

10.

Norris JWEisen AABranch CL: Problems in cerebellar hemorrhage and infarction. Neurology 19:104310501969Norris JW Eisen AA Branch CL: Problems in cerebellar hemorrhage and infarction. Neurology 19:1043–1050 1969

11.

Ott KHKase CSOjemann RGet al: Cerebellar hemorrhage: diagnosis and treatment. A review of 56 cases. Arch Neurol 31:1601671974Ott KH Kase CS Ojemann RG et al: Cerebellar hemorrhage: diagnosis and treatment. A review of 56 cases. Arch Neurol 31:160–167 1974

12.

Pressman BPKirkwood JRDavis DO: Posterior fossa hemorrhage. Localization by computerized tomography. JAMA 232:9329331975Pressman BP Kirkwood JR Davis DO: Posterior fossa hemorrhage. Localization by computerized tomography. JAMA 232:932–933 1975

13.

Russell DS: The pathology of spontaneous intracranial haemorrhage. Proc R Soc Med 47:6897041954Russell DS: The pathology of spontaneous intracranial haemorrhage. Proc R Soc Med 47:689–704 1954

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