Recurrent cerebellar hemorrhage: case report and review of the literature.
We report a case of cerebellar hemorrhage (CH) that recurred in other hemisphere after 4 months of the first attack. A 58-year-old man presented with general weakness and computerized tomography (CT) of the brain showed a 41 mm hematoma in the right cerebellum with intraventricular extension. The satisfactory outcome was obtained after emergency surgical intervention and intensive rehabilitation. However, the patient irregularly took the prescribed anti-hypertensive medication. Four months after first attack, the recurrent CH in left side showed by brain CT. Only 2 cases of recurrent CH have been published thus far. The patient is the third reported case of recurrent CH and the second case in which CH recurred in the other hemisphere. Further, no patient has been reported to develop recurrence of CH in such a short period after the first onset. We discuss the possible pathophysiology, clinical course, treatment outcome, risk factors associated with such events and the importance of blood pressure control for preventing recurrence.
Wu
Yung-Tsan
YT
Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu District, Taipei, Taiwan.
Hsieh
Ming-Fu
MF
Chu
Heng-Yi
HY
Lu
Shao-Chi
SC
Chang
Shin-Tsu
ST
Li
Tsung-Ying
TY
D000959:Antihypertensive Agents / Q000627:therapeutic use; D002531:Cerebellum / Q000473:pathology* / Q000601:surgery; D002543:Cerebral Hemorrhage / Q000473:pathology* / Q000601:surgery*; D056424:Decompressive Craniectomy / Q000009:adverse effects; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000601:surgery; D006973:Hypertension / Q000150:complications / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D017287:Ventriculoperitoneal Shunt
D000959:Antihypertensive Agents
Stroke. 1995 Nov;26(11):2198
7482676
Md State Med J. 1965 Feb;14:61-5
14258950
Eur Neurol. 2004;52(2):112-9
15319556
Stroke. 2000 Jan;31(1):123-7
10625726
Acta Neurochir (Wien). 1993;122(1-2):39-44
8333307
Semin Neurol. 2008 Nov;28(5):657-67
19115172
J Neurol Sci. 1993 Jun;116(2):135-41
8336159
Neurology. 1997 Jul;49(1):106-13
9222177
Surg Neurol. 2009 Oct;72(4):369-75
19604553
Surg Neurol. 2001 Mar;55(3):156-61; discussion 161
11311913
Neurosurg Focus. 2003 Oct 15;15(4):E1
15344894
Acta Neurochir (Wien). 1994;131(1-2):59-66
7709785
Stroke. 1983 Nov-Dec;14(6):924-8
6658996
Cerebrovasc Dis. 1999 Mar-Apr;9(2):102-8
9973653
Stroke. 1997 Jun;28(6):1185-8
9183348
Stroke. 1998 Sep;29(9):1806-9
9731599
Surg Neurol. 2006 Jan;65(1):67-72; discussion 72-3
16378863
Stroke. 2005 May;36(5):934-7
15790947
Neurosurgery. 2001 Dec;49(6):1378-86; discussion 1386-7
11846937
Neurology. 2002 Jul 23;59(2):205-9
12136058
Stroke. 2001 Feb;32(2):530-4
11157193
Kaohsiung J Med Sci. 2001 Nov;17(11):556-63
11852462
Neurology. 1998 Nov;51(5):1364-9
9818861
Neurosurgery. 1994 Feb;34(2):246-50; discussion 250-1
8177384