Cerebellar Intracerebral Hemorrhage - Case 4

A 55 year-old hypertensive man presented with nausea, vomiting and headache. Within hours, he became comatose.

Outline the Cerebellar Blood      Note the Compression of the 4th Ventricle      Note the Surrounding Vasogenic Edema

Axial CT scan of the brain: Note the area of high intensity in the left and central cerebellum which denotes acute bleeding on CT imaging.  Also note the effacement of the adjacent fourth ventricle and compression of the brainstem. This is an important neurosurgical emergency to recognize as ventricular shunting and decompressive surgery can be life saving.

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