Cerebellar hemorrhage in adults

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Abstract
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 2 basic groups. The 1st group (60% of the cases) ran a progressive course with early brain-stem compression. The 2nd group had a benign course with findings of focal cerebellar dysfunction. The CT findings reflected the 2 clinical categories. The scans of the 1st group patients revealed a large hematoma (.gtoreq. 3 cm) and substantial ventricular dilatation. In contrast, scans of the 2nd group patients demonstrated a small hematoma (< 3 cm) without ventricular dilatation. Use of CT scanning allowed the accurate differentiation of cerebellar hemorrhage from primary brainstem and intraventricular hemorrhage. The findings of the CT investigations proved very helpful in defining-appropriate therapy.