A case of spontaneous cerebellar hemorrhage

Abstract

Intracerebral hemorrhage (ICH) is a rare phenomenon for which 10% occur in the cerebellum. They occur in older adults and are associated with hypertension in the majority of cases. They have been reported in adolescents and young adults in association with arteriovenous malformations and angiomas. Spontaneous cerebellar hemorrhaging, in the absence of trauma or any identifiable well-established risk factors, is an exceedingly rare occurrence, with a mortality ranging from 25-57%. A case of a 26-year-old male with a spontaneous cerebellar hemorrhage is presented. He is a healthy young adult without identifiable risk factors for cerebrovascular accident (CVA) apart from marijuana use, which has not definitively been established as a risk factor. Several possible etiology’s are explored, and after nine years his post-event status is assessed.