Cerebellar hemorrhage

Cerebellar hemorrhage may present with a spectrum of clinical manifestations, from a benign course with little to no neurologic deficit to a rapidly fatal course with hydrocephalus and brainstem compression. In patients with clinical deterioration, ventricular drainage and surgical evacuation of clot may be life-saving. Several retrospective studies have attempted to define radiographic indicators of the need for surgery with moderate success. A rational approach to the management of the patient with cerebellar hemorrhage is presented.