Cerebellar Intracerebral Hemorrhage - Case 3

A 52 year-old hypertensive man presented with nausea, vomiting and falling to the left.

Outline the Cerebellar Blood   Note the Compression of the 4th Ventricle / Aqueduct   Note the Early Enlargement of the Temporal Horns

Axial CT scan of the brain: Note the area of high intensity in the left cerebellum which denotes acute bleeding on CT imaging.  Also note the effacement of the adjacent fourth ventricle and the presence of early hydrocephalus (i.e., the temporal horns are slightly enlarged). This is an important neurosurgical emergency to recognize as ventricular shunting and decompressive surgery can be life saving.

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