title: Cerebellar Hemorrhage Presenting with Ventricular Tachycardia.
abstract: OBJECTIVE
  The aim of the present study was to demonstrate the practical implications of the association between stroke and cardiac arrhythmia.
  
  
  METHODS
  We present here a case of cerebellar hemorrhage presenting with nonsustained ventricular tachycardia (NSVT) in a 61-year-old man with no previously known medical problems.
  
  
  RESULTS
  The patient was given oral metoprolol, with a significant reduction in the episodes of NSVT. On further examination, there was an ataxic gait and slurred speech, which was reported to be new by the patient and his accompanying partner. A computed tomography scan of the head performed within 3 hours of symptom onset demonstrated an acute cerebellar parenchymal hemorrhage with local mass effect and extension into the fourth ventricle.
  
  
  CONCLUSIONS
  This case acts as a reminder of the association between stroke and cardiac arrhythmia. It is plausible that episodes of NSVT occurred before presentation and were exacerbated by the increased sympathetic activity following the onset of hemorrhage. As such, it is crucial to interpret electrocardiogram investigations in the context of the clinical presentation. Prompt diagnosis is vital to optimizing care.
authors.affiliation: Postgraduate Centre, Hammersmith Hospital, London, United Kingdom. Electronic address: Dipender.gill@imperial.ac.uk.
authors.forename: Dipender
authors.initials: D
authors.lastname: Gill
authors.affiliation: Postgraduate Centre, Hammersmith Hospital, London, United Kingdom.
authors.forename: Richard
authors.initials: R
authors.lastname: Jabbour
authors.affiliation: Postgraduate Centre, Hammersmith Hospital, London, United Kingdom.
authors.forename: Norman
authors.initials: N
authors.lastname: Qureshi
authors.affiliation: Charing Cross Hospital, Fulham Palace Road, London, United Kingdom.
authors.forename: Arindam
authors.initials: A
authors.lastname: Kar
authors.affiliation: Postgraduate Centre, Hammersmith Hospital, London, United Kingdom.
authors.forename: P Boon
authors.initials: PB
authors.lastname: Lim
mesh_terms: D002543:Cerebral Hemorrhage / Q000150:complications* / Q000175:diagnosis; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed
keywords: Ventricular tachycardia; arrhythmia; cerebellar hemorrhage; hemorrhage; stroke