Yeungnam Univ J Med.  2019 Sep;36(3):269-272. 10.12701/yujm.2019.00318.

Isolated hemorrhage in the cerebellar vermis with vertigo and body lateropulsion to the contralesional side

• Lee DH
• Lee SJ

• KMID: 2460198
• DOI: http://doi.org/10.12701/yujm.2019.00318

Abstract

There have been several reports of patients with isolated lesions of the cerebellar vermis presenting with clinical features similar to those of peripheral vestibulopathy. We report a case of small, isolated hematoma in the cerebellar vermis in a patient who presented with vertigo, ipsilesional nystagmus, and body lateropulsion to the contralesional side without the usual signs or symptoms of cerebellar dysfunction. Although they present with symptoms that mimic those of peripheral vestibulopathy, and brain computed tomography shows no abnormality, as there may be a small, isolated hematoma or infarction in the cerebellar vermis. Thus, brain magnetic resonance imaging should be performed in elderly patients with vascular risk factors.

Keyword

Cerebellar vermis; Hemorrhage; Nystagmus; Vertigo; Vestibulopathy

MeSH Terms

Aged
Brain
Cerebellar Diseases
Cerebellar Vermis*
Hematoma
Hemorrhage*
Humans
Infarction
Magnetic Resonance Imaging
Risk Factors
Vertigo*

Figure

• 

  Fig. 1. Brain computed tomography image shows a high-density subtle, small region (arrow) in the vermis of the right cerebellum, posterior to the fourth ventricle.

• 

  Fig. 2. Brain magnetic resonance imaging. Axial and sagittal fluid-attenuated inversion recovery imaging (A, B) and T2-weighted gradient echo imaging (C, D) show a small, isolated, acute stage hematoma (arrow) selectively involving the vermis of the right cerebellum located immediately posterior to the fourth ventricle, with mild edema of the surrounding brain tissue.

Reference

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