Symptoma

Cerebellar Stroke

The clinical presentation may be ambiguous, and initial computed tomography scan can be normal. [ncbi.nlm.nih.gov]

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. [stroke.ahajournals.org]

  • Severe Clinical Course

    In addition, we are not able to report on the potentially more severe clinical course of patients with larger ischemic lesions due to the relatively small lesion volumes included in our study, and because we excluded patients with additional brainstem [frontiersin.org]

  • Excoriation

    She was discharged with orthopedic follow-up and later began to excoriate her right conjunctiva to remove imaginary “foreign bodies” and doused herself with kitchen cleaners to remove “chemicals,” in the process developing severe contact dermatitis. [neuro.psychiatryonline.org]

  • 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]

    This continued to a mild extent and then worsened 10 days later, with a brief episode of right hemi-numbness, right ear tinnitus, poor balance, and incoordination of the right hand that persisted. [doi.org]

  • Disorganized Behavior

    These disorganized behaviors were driven by paranoid and persecutory delusions related to a friend's husband that were bizarre in nature. Her activities of daily living were compromised, and she wore soiled clothing. [neuro.psychiatryonline.org]

  • 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]

  • Vertigo

    In four of the patients, severe vertigo, nausea, and vomiting persisted after the nystagmus had been resolved. [ncbi.nlm.nih.gov]

    […] with cerebellar stroke, and approximately 0.7-3% of isolated vertigo have cerebellar stroke. [longdom.org]

  • 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]

    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]

    There was no nystagmus. Neurologic examination revealed incordinate movements which affected her right side: deep tendon reflexes were brisk in all four extremities. [nature.com]

  • Dysmetria

    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]

    […] ophthalmoplegia One and a half syndrome Midbrain (CN 3, 4) Weber's syndrome ventral peduncle, PCA Benedikt syndrome ventral tegmentum, PCA Parinaud's syndrome dorsal, tumor Nothnagel's syndrome Claude's syndrome Other Alternating hemiplegia Cerebellum lateral (Dysmetria [en.wikipedia.org]

    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]

    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]

  • Unable to Walk

    […] to walk, and many also have direction-changing or gaze-evoked nystagmus, in which the direction of the nystagmus changes according to the patient’s gaze.8 Neuronal tracts between the cerebellum and limbs are either doubly crossed or uncrossed, so that [ahajournals.org]

    The weakness of her right limb progressed and she was unable to walk independently and hold chopsticks. At 9 days prior to presentation, she started vomiting and experienced dizziness. It became so severe that she was admitted to the local hospital. [spandidos-publications.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]

[…] 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]

  • Left Anterior Fascicular Block

    Lipid Panel: Chol: 227 Trigl: 149 HDL: 43 LDL: 160 HgbA1c: 11.4 BMP normal, glucose: 324mg/dl CBC: normal INR: 1.1 EKG: Normal sinus rhythm, Left anterior fascicular block Telemetry monitoring without remarkable events 5. [slideshare.net]

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]

Treatment of hypertensive cerebellar hemorrhage: surgical or conservative management? Neurosurgery 1994;34246- 251 PubMed Google Scholar Crossref 13. [doi.org]

Other treatments include medicines and surgery. [icdlist.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]

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]

The Brain Types of Stroke Stroke Resources Landing Page Book Shop Equipment Financial Assistance Links Newsletter Archive Newsfeed Archive Products Stroke Caregiver Stroke Caregivers Handbook Central Pain Syndrome Landing Page Cause Forum Other Names Prognosis [strokeboard.net]

Space-occupying cerebellar infarction: clinical course and prognosis. Stroke. 1994 ; 25 :372–374. Crossref Medline Google Scholar 8 Macdonell RAL, Kalnins RM, Konnan GA. Cerebellar infarction: natural history, prognosis and pathology. [stroke.ahajournals.org]

Posterior fossa syndrome (PFS) due to vascular etiology is rare in children and adults. [ncbi.nlm.nih.gov]

The constellation of findings was therefore highly supportive of a vascular etiology. [neuro.psychiatryonline.org]

"Dysarthria in acute ischemic stroke: Lesion topography, clinicoradiologic correlation, and etiology". Neurology. 56 (8): 1021–7. doi:10.1212/WNL.56.8.1021. PMID 11320172. Caplan, Louis R.; Bogousslavsky, Julien (2001). Stroke Syndromes. [en.wikipedia.org]

The main etiologies of cerebellar stroke are artery-to-artery embolism and cardioembolism, followed by in situ branch atherosclerosis. [link.springer.com]

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]

With obvious literature shortage, the need for more epidemiological studies is well clarified. References Barinagarrementeria F, Amaya LE, Cantu C (1997) Causes and mechanisms of cerebellar infarction in young patients. Stroke 28: 2400-2404. [clinmedjournals.org]

Epidemiology, clinical manifestations, and diagnosis of brain metastases. . Accessed April 18, 2017. Metastatic cancer. National Cancer Institute. . Accessed April 18, 2017. Walsh D, et al. Brain metastases. In: Palliative Medicine. [mayoclinic.org]

Clinico-epidemiologic study of stroke in Akita, Japan. Stroke. 1987;18:402–6. [PubMed] [Google Scholar] 4. Kim CH, Kim JS. Development of cerebral infarction shortly after intracerebral hemorrhage. Eur Neurol. 2007;57:145–9. [ncbi.nlm.nih.gov]

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]

Although the clinical syndromes, complications, and underlying pathophysiological mechanisms have been well characterized, 1 4 5 fewer data are available concerning outcome after acute cerebellar stroke. [stroke.ahajournals.org]

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 of cerebellar stroke is aimed at preventing rapid deterioration and reversing the lost functions as much as possible so that patient can live normal lifestyle. [tandurust.com]

Management or prevention of these conditions can significantly decrease your risk of stroke. [winchesterhospital.org]

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