[Clinical study of 28 patients with cerebellar hemorrhage].

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.