title: Recurrent, sequential, bilateral deep cerebellar hemorrhages: a case report.
abstract: BACKGROUND
  Hypertensive intra-cerebral hemorrhage is usually a one-time event and recurrences are rare. Most recurrences develop as part of long-term failure of blood pressure control. The site of the re-bleed is usually limited to the basal ganglia and thalami.
  
  
  METHODS
  We report the case of a 59-year-old hypertensive Caucasian woman who developed two sequential, right- and then left-sided, deep cerebellar hemorrhages. The second hemorrhage followed the first one by 57 days, at a time when her blood pressure was optimally controlled. In spite of these critical sites and short duration between the two bleeds, the patient achieved a relatively good functional recovery. Her brain magnetic resonance angiogram was unremarkable.
  
  
  CONCLUSIONS
  The development of recurrent hypertensive hemorrhage is rare and usually occurs within two years of the first bleed. To the best of our knowledge, this is the first reported case of bilateral, sequential, right- and then left-sided deep cerebellar hemorrhages. These hemorrhages were separated by eight weeks and the patient had a relatively good functional recovery. We believe that hypertension was the etiology behind these hemorrhages.
authors.affiliation: Department of Neurology, Sulaimaniya General Teaching Hospital, Sulaimaniya City, Iraq. dr.osama.amin@gmail.com.
authors.forename: Osama Sm
authors.initials: OS
authors.lastname: Amin
authors.forename: Raz T
authors.initials: RT
authors.lastname: Omer
authors.forename: Aso A
authors.initials: AA
authors.lastname: Abdulla
authors.forename: Raz H
authors.initials: RH
authors.lastname: Ahmed
authors.forename: Omed
authors.initials: O
authors.lastname: Ahmad
authors.forename: Soran
authors.initials: S
authors.lastname: Ahmad