Cerebellar hemorrhage in adults. Clinical and computerized tomographic findings.

The clinical and CT findings in 14 patients with cerebellar hemorrhage are reviewed. Two normotensive patients had an underlying vascular malformation. Six patients had poorly-controlled hypertension of short duration; the cerebellar hematomas were quite large causing significant mass effect, intraventricular extension and ventricular enlargment. Four of these patients died and two had residual neurological deficit following operation. Five other patients had better-controlled hypertension of longer duration with other systemic complications including myocardial infarction and transient ischemic attacks; the hematomas were smaller with minimal mass effect and no intraventricular extension. Their outcome was better and three did not require operation. In these five patients, clinical outcome was not better in the operated than in the non-operated patients. One normotensive young patient had spontaneous bilateral cerebellar hematomas which required surgical evacuation with good clinical recovery.