[Clinical study of 28 patients with cerebellar hemorrhage]

Abstract

Background and objective: To characterize the clinical features, etiology and prognosis of cerebellar hemorrhage.

Patients and methods: Descriptive study of 28 patients with cerebellar hemorrhages included in the Sagrat Cor Hospital of Barcelona Stroke Registry over a 19 year period. The vascular risk factors and clinical profiles in the subcortical hemorrhage group (n=133) were compared.

Results: Cerebellar hemorrhages accounted for 0.73% of all acute strokes (n=3,808) and 6,9% of all intracerebral hemorrhages. Hypertension was present in 60,7%, atrial fibrillation in 17,9% and ischemic heart disease in 10,4%. The overall in-hospital mortality rate was 21,4%. Ataxia (OR=91,75; 95% CI, 14,90-564,98), nausea and vomiting (OR=12,85; 95% CI, 2,80-58,93) and sensory symptoms (OR=0.05; 95% CI, 0,01-0,36) were independent clinical predictors related to cerebellar hemorrhage.

Conclusions: Cerebellar hemorrhage is uncommon. In-hospital mortality is 21.4% and clinical profiles were different in cerebellar hemorrhages when compared to subcortical hemorrhages.