Cerebellar hemorrhage (bleeding in back of brain)


Description

Bleeding into the lower portion of the brain, the cerebellum. The cerebellum is located at the base of the skull and controls coordination, balance, and equilibrium. Bleeding into this area causes dizziness, loss of coordination, vomiting. The bleeding can result from a stroke, high blood pressure, brain tumor, arterial aneurysm, or cocaine.

Symptoms

Symptoms may include headache, vomiting, incoordination, dizziness, double vision, vertigo, slurred speech, or trouble swallowing.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. Additional tests include: CT scan, MRI and/or angiography to identify the source of bleeding. Blood tests will be done to test the clotting ability of the blood.

Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Magnetic resonance imaging (MRI)

Other Specific Tests: Protime, partial thromboplastin time, angiography

Specialists:
Neurosurgery, Pediatric Neurosurgery

Treatment

Treatment includes: control of blood pressure, mannitol to reduce increased pressure around the brain, and antiseizure medications to prevent seizures. Surgical evacuation of the blood may be recommended.


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