Conservative management in a rare case of spontaneous bilateral cerebellar haemorrhage.
Intracranial haemorrhage is usually associated with various risk factors such as hypertension, aneurysm, bleeding diatheses, anticoagulant use, amyloid angiopathy and remote bleed occurring after supratentorial and spinal surgery. Simultaneous bilateral cerebellar haemorrhage is rarely observed outside the setting of known precipitants and may follow a rapid downhill course. We present an unusual case of a young man who presented to us with sudden-onset cerebellar signs due to haemorrhage occurring in both the cerebellar hemispheres. Our patient had a favourable outcome with conservative management despite having bilateral cerebellar haematoma with partial obliteration of the fourth ventricle.
Department of Neurology, Chhatrapati Shahuji Maharaj Medical University, Lucknow, Uttar Pradesh, India.
Rakesh
R
Lalla
Hardeep Singh
HS
Malhotra
Ravindra Kumar
RK
Garg
Rajesh
R
Verma
D053799:2-Pyridinylmethylsulfinylbenzimidazoles / Q000627:therapeutic use; D000086:Acetazolamide / Q000627:therapeutic use; D000328:Adult; D000932:Antiemetics / Q000627:therapeutic use; D002531:Cerebellum / Q000000981:diagnostic imaging*; D004234:Diuretics, Osmotic / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006261:Headache / Q000209:etiology; D006406:Hematoma / Q000209:etiology; D006801:Humans; D020300:Intracranial Hemorrhages / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D008279:Magnetic Resonance Imaging; D008297:Male; D008353:Mannitol / Q000627:therapeutic use; D008787:Metoclopramide / Q000627:therapeutic use; D000077402:Pantoprazole; D054328:Proton Pump Inhibitors / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D014839:Vomiting / Q000209:etiology
D053799:2-Pyridinylmethylsulfinylbenzimidazoles; D000932:Antiemetics; D004234:Diuretics, Osmotic; D054328:Proton Pump Inhibitors; D008353:Mannitol; D000077402:Pantoprazole; D008787:Metoclopramide; D000086:Acetazolamide