Presentation
The clinical presentation may be ambiguous, and initial computed tomography scan can be normal. [ncbi.nlm.nih.gov]
At the other end of the spectrum, some patients with cerebellar stroke may present in a moribund comatose state. [mayoclinic.pure.elsevier.com]
However, no statistically significant differences in total DFIM ( P =0.1) or the inpatient rehabilitation FIM change (ΔFIM) ( P =0.16) was present between the subgroups. [doi.org]
Entire Body System
- Camping
Gave me the willies about boot camp many eons ago..Hahahahahah Beat the pants off your stroke girl !!!! [medhelp.org]
Von Campe G, Regli F, Bogousslavsky J. Heralding manifestations of basilar artery occlusion with lethal or severe stroke J Neurol Neurosurg Psychiatry 2003 ; 74 : 1621 -6. Mattle HP, Arnold M, Lindsberg PJ, Schonewille WJ, Schroth G. [bmj.com]
Respiratoric
- Cough
[…] or throat clearing due to delayed pharyngeal swallow: Intervention - Cold stimulus; Thickened liquids; Controlled bolus volume; Thermal stimulation; Bolus hold exercises; Chin tuck; Supraglottic swallow Symptom - Immediate cough or throat clearing; wet [speechpathology.com]
After the second operation there was no cough, gag, or brainstem reflexes or motor responses. The family decided to withdraw life support, and the patient died. [doi.org]
Symptoms can include coughing after eating or drinking, food getting stuck in the mouth, pneumonia, weight loss, and poor nutrition. Working with a speech or physical therapist can help. [medicalnewstoday.com]
Ears
- Tinnitus
Patients with symptoms commonly peripheral in etiology (nystagmus, tinnitus, gait instability, etc.) were included in the study. Patient demographics, stroke risk factors, and gait assessments were recorded. [ncbi.nlm.nih.gov]
Tinnitus or abnormal sounds in ear sometimes leading to deafness. Double vision. [tandurust.com]
I had a high level of tinnitus and could not stand or stop vomiting for four days. I was admitted to the cardiac ward and my heart rate slowed and my blood pressure dropped. [stroke-survivors.co.uk]
My stroke side effects were dizziness (vertigo), double vision (diplopia) nystagmus ,staggering gait (ataxia),weakness of the right side, tinnitus and occurrences of bronchial spasms. [healthboards.com]
Symptoms and Signs a Direction changing or vertical, not inhibited by visual fixation and without any associated tinnitus suggests central rather than peripheral cause. b When muscles are contracted against resistance and the resistance is then suddenly [slideshare.net]
Neurologic
- Ataxia
MRI data showed that patients with larger infarct volumes had a significantly more severe ataxia. In patients with ataxia of stance, gait and lower limbs lesions were more common in cerebellar lobules IV to VI. [ncbi.nlm.nih.gov]
Genetic: there are a number of inherited cerebellar ataxias: Many of these present in adulthood. Examples are Friedreich's ataxia (the most common) and ataxia telangiectasia. Metabolic and endocrine: Cerebral oedema of chronic hypoxia. [patient.info]
- Vertigo
Remaining 8 patients were also symptomatic for vertigo, but they had spontaneous nystagmus. The latter group was called "disease control." [ncbi.nlm.nih.gov]
[…] overlap with cerebellar stroke, and approximately 0.7-3% of isolated vertigo have cerebellar stroke. [longdom.org]
Signs and symptoms of cerebellar stroke include: Vertigo* Vomiting Dizziness Lethargy Headache Muscle weakness or paralysis Vision problems (like blindness) *Vertigo is a huge one. [flintrehab.com]
- Nystagmus
We periodically observed spontaneous and positional nystagmus 6-24h after symptom onset. RESULTS: In three of the patients, the direction and/or type of nystagmus changed periodically. [ncbi.nlm.nih.gov]
and dysarthria.8 Importantly, 71% of patients with isolated vertigo attributable to cerebellar infarction are unable to walk, and many also have direction-changing or gaze-evoked nystagmus, in which the direction of the nystagmus changes according to [ahajournals.org]
- Dysmetria
Damage to the cerebellum can lead to: 1) loss of coordination of motor movement (asynergia), 2) the inability to judge distance and when to stop (dysmetria), 3) the inability to perform rapid alternating movements (adiadochokinesia), 4) movement tremors [neuroskills.com]
Andreason suggests the presence of cognitive dysmetria due to cerebellar involvement in schizophrenia which is analogous to motor dysmetria so far described in cerebellar patients. [4] Cerebral lesions producing Mania was described by many authors. [5 [ijpm.info]
During his admission to the stroke neurology unit, the patient suffered from ongoing significant ataxia, dysarthria, scanning speech, motor dysmetria, and mild diplopia. [cerebellumandataxias.biomedcentral.com]
Abnormality of this is called dysmetria. [stanfordmedicine25.stanford.edu]
- Clumsiness
[…] due to right middle cerebral artery occlusion Cerebrovascular accident due to right posterior cerebral artery occlusion Cerebrovascular accident, less than 8 weeks (disorder) CVA - cerebrovascular accident due to cerebral artery occlusion Dysarthria-clumsy [icd9data.com]
His symptoms resolved, except for clumsiness of the right hand, which gradually improved with physical therapy. [doi.org]
As a result, movements may be imprecise and appear “clumsy” at times. [saebo.com]
Workup
[…] include incompatibility with certain medical equipment, longer imaging times (increased risk of motion artifact), and poor visualization of the subarachnoid space Neither CT nor MRI can be used to differentiate tumor recurrence from radionecrosis See Workup [emedicine.medscape.com]
Given the patient’s neuroimaging findings and the results of the medical workup, we reached the diagnosis of a psychotic disorder due to a remote cerebellar stroke on the basis of the patient’s time course, history of delusions and disorganized behavior [neuro.psychiatryonline.org]
We are reporting a toddler child who has been found to have evidence of cerebellar rather than cerebral stroke after interesting clinical presentation & appropriate workup. Case Report We are reporting R.A, a previously healthy 4 ½ years old. [clinmedjournals.org]
Treatment
To the best of our knowledge, PFS due to cerebellar stroke has only been reported in patients who also underwent surgical treatment of the underlying vascular cause. [ncbi.nlm.nih.gov]
Published on Jan 22, 2014 Brief presentation of medical and surgical treatment options for massive cerebellar stroke. [slideshare.net]
Before we dig in, let’s quickly discuss treatment. Cerebellar Stroke Treatment Treatment for cerebellar stroke depends on the type of stroke: ischemic or hemorrhagic. [flintrehab.com]
Prognosis
Prognosis Nancy has shown good improvement and is returning home with extra caregivers to help her. She has shown good recovery and her prognosis has improved. [study.com]
We therefore aim to discuss the clinical presentation, treatment, causes, and prognosis of cerebellar stroke in both adults and children. Important differences between children and adults are discussed after each section. [ncbi.nlm.nih.gov]
Strangely enough, the development of complications did not serve to worsen patient prognosis; prognosis mainly depended on the number of affected territories and the presence of brainstem impairment.Conflicts of interest The authors have no conflicts [elsevier.es]
Treatment and prognosis Unlike pontine hemorrhages, cerebellar hemorrhages carry a relatively good prognosis if timely evacuation and control of hydrocephalus can be obtained. Prompt diagnosis and neurosurgical referral are therefore key. [radiopaedia.org]
Their management often requires surgical intervention, and the prognosis is usually good when the intervention is performed before the patient becomes comatose. [medlink.com]
Etiology
Posterior fossa syndrome (PFS) due to vascular etiology is rare in children and adults. [ncbi.nlm.nih.gov]
The main etiology in PICA was cardioembolism. [annalsofian.org]
Outline: • Introduction • Patient history • Symptoms and signs • Etiology and pathogenesis • Imaging • Differential diagnosis • Complication • Management • Summary 3. [slideshare.net]
The constellation of findings was therefore highly supportive of a vascular etiology. [neuro.psychiatryonline.org]
Epidemiology
Stroke for the 21st Century and on behalf of the American Heart Association Stroke Council, Council on Cardiovascular Surgery and Anesthesia, Council on Cardiovascular Radiology and Intervention, Council on Cardiovascular and Stroke Nursing, Council on Epidemiology [ahajournals.org]
Epidemiology As a general rule, brain tumors increase in frequency with age, with individual exceptions (e.g. pilocytic astrocytoma, the vast majority of which are found in young patients), and a number of uncommon tumors found in infancy (see brain tumors [radiopaedia.org]
Appel LJ, Braun LT, Chaturvedi S, Creager MA, Culebras A, Eckel RH, Hart RG, Hinchey JA, Howard VJ, Jauch EC, Levine SR, Meschia JF, Moore WS, Nixon JV, Pearson TA; American Heart Association Stroke Council; Council on Cardiovascular Nursing; Council on Epidemiology [passeportsante.net]
Epidemiology, clinical manifestations, and diagnosis of brain metastases. https://www.uptodate.com/home. Accessed April 18, 2017. Metastatic cancer. National Cancer Institute. http://www.cancer.gov/cancertopics/factsheet/Sites-Types/metastatic. [mayoclinic.org]
We recorded the following epidemiological variables from each patient: sex, age, presence of cardiovascular risk factors (smoking, high blood pressure, diabetes mellitus, dyslipidaemia, presence of cardioembolism) and aetiology (TOAST criteria18). [elsevier.es]
Pathophysiology
A decrease of excitatory impulses from the lesioned cerebellum to the structurally intact supratentorial network subserving cognitive, behavioural and affective processes constitutes the likely pathophysiological mechanism underlying PFS and CCAS in this [ncbi.nlm.nih.gov]
Moreover, a better understanding of the pathophysiological mechanisms underlying the presence of post-stroke mood disorders could improve their management. [clinicaltrials.gov]
For example, schizophrenia has alternatively been described, pathophysiologically, as a “cognitive dysmetria” due to dysfunction in the cortico-cerebello-thalamo-cortical circuit [ 5 ]. [cerebellumandataxias.biomedcentral.com]
Prevention
In both patient groups, it is often unclear at what point surgical intervention should be considered either to prevent further neurologic deterioration or to try to salvage a meaningful neurologic recovery. [mayoclinic.pure.elsevier.com]
Then steps are taken to prevent and treat complications. This is followed by rehabilitation to return the patient to optimum recovery. Lifestyle changing techniques are provided to prevent subsequent strokes. [livestrong.com]
Management or prevention of these conditions can significantly decrease your risk of stroke. [winchesterhospital.org]