Cases reported "Cerebellar Diseases"

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11/15. Benign outcome in unoperated large cerebellar haemorrhage. Report of 2 cases.

    We studied two patients with large cerebellar haemorrhages, who were conscious on admission and did not deteriorate during the following days. Surgical decompression was not performed and the patients regained their former level of activity, except for moderate persisting ataxia. We suggest that cerebellar haemorrhage may have a benign spontaneous outcome, more often than previously assumed from autopsy series. The main selection criteria for surgery is an impaired state of consciousness and evidence of neurological worsening. Taken alone, the size of the haemorrhage on computerized tomography is not a reliable criterion for surgery.
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keywords = haemorrhage
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12/15. Persistent absence of auditory brainstem responses with preserved hearing and recovery from a prolonged comatose state.

    A patient with hypertensive intracerebellar haemorrhage, who recovered from impending tonsillar herniation with emergency haematoma evacuation, showed persistent absence of auditory brainstem responses. The patient demonstrated a preserved stapedius reflex and hearing after recovery, indicating that the auditory brainstem pathway was not completely disrupted. We suggest that the loss of the auditory brainstem response (ABR) could be accounted for by impulse asynchrony along the auditory brainstem pathway. The existence of such a case implies that persistent absence of the ABR is not always indicative of irreversible brainstem damage and a poor outcome following severe brain injury.
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ranking = 0.14285714285714
keywords = haemorrhage
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13/15. Colloid cyst of the 3rd ventricle as a cause of acute neurological deterioration and sudden death.

    A 13 year old girl presented with a 24 h history of headache and vomiting. There were no focal neurological signs. The diagnoses considered were vascular headache, meningitis and subarachnoid haemorrhage. Lumbar puncture revealed clear cerebrospinal fluid under high pressure and subsequent cerebral computed tomography (CT) scan revealed hydrocephalus. Death occurred some hours after the lumbar puncture. autopsy revealed a colloid cyst of the 3rd ventricle causing the hydrocephalus. Cerebellar tonsillar herniation was present. This case is reported because although 3rd ventricular colloid cysts are a recognized cause of acute neurological deterioration and sudden death, they rarely present in childhood. In this case, it is considered that lumbar puncture may have hastened death by increasing brain-stem compression due to cerebellar tonsillar herniation. It raises the question of whether cerebral CT scan, where readily available, should be performed prior to lumbar puncture. Pathologically, colloid cysts may be easily missed if the brain is examined fresh as the cysts are fragile and have a tendency to be destroyed or fall out.
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ranking = 0.14285714285714
keywords = haemorrhage
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14/15. Fatal cerebellar haemorrhage due to phenprocoumon poisoning.

    A 32-year-old patient died of a cerebellar haemorrhage and the blood coagulation analysis before death suggested defective synthesis of vitamin K-dependent clotting factors due to vitamin k deficiency. The post-mortem toxicological examination of different tissues revealed phenprocoumon poisoning as the cause of death. The differential diagnosis of vitamin k deficiency and the toxicology of hydroxycoumarins are discussed.
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ranking = 0.71428571428571
keywords = haemorrhage
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15/15. Spontaneous cerebellar haemorrhages in childhood.

    Spontaneous cerebellar haemorrhage is very rare in children and is often associated with blood diseases such as haemophilia A or acute lymphatic leukaemia. During 1995, two paediatric patients with spontaneous cerebellar haemorrhage underwent surgical treatment in the Neurotraumatology Division of "La Sapienza" University hospital in rome. The authors discuss this unusual pathology with particular regard to the age of the patients described.
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ranking = 0.85714285714286
keywords = haemorrhage
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