Acute hypertensive cerebellar hemorrhage with signs of lower brainstem compression

A case of acute hypertensive cerebellar hemorrhage is reported. The patient was comatose on admission and successfully survived following evacuation of the hematoma. Surgically treated similar cases are reviewed in the literature. It is suggested that prompt diagnosis, immediate removal of the hematoma, prevention of rebleeding, and careful management of pre- and intra-operative anoxia may result in better results with this highly lethal condition.