Symptoms of Cerebellar Stroke - Oren Zarif - Cerebellar Stroke

Symptoms of cerebellar stroke vary widely, depending on the location and size of the infarct. Symptoms of cerebellar stroke typically do not present with the classic signs of ataxia or vision loss. A small cerebellar infarct, however, can produce the same clinical symptoms as a large infarct. The symptoms are typically more subtle and may be missed until symptoms become severe. In this article, we will explore some of the most common cerebellar stroke signs.

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Symptoms of cerebellar stroke include poor coordination, clumsiness, intention tremor, dysarthria, scanty speech, memory loss, motor planning, and lack of coordination. Despite its rarity, it is important to seek immediate medical attention, as symptoms of cerebellar stroke can be mistaken for other disorders, causing further damage. In addition to the above-mentioned symptoms, a person with cerebellar stroke can experience difficulty breathing, heartbeat, and blood pressure.

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Although the causes of cerebellar stroke have yet to be clearly determined, it has been suggested that small infarcts in the cerebellum are often due to thromboembolism. However, later studies have suggested that occlusion of small arteries may be a prerequisite for the pathogenesis of small cerebellar infarcts. Nonetheless, these findings need further confirmation to determine the best treatment.

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Cerebellar hemorrhage may present with symptoms of sudden unresponsiveness and coma within a few hours. A large-scale study has shown that obliteration of the fourth ventricle, basal cisterns, or a midline location, or a massive paramedian pontine infarction, may increase the risk of severe neurological deterioration. As such, evacuation of the cerebellum can help to avoid a potentially life-threatening situation.

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MRI examinations are the best means of confirming whether a cerebellar infarct is ischemic or hemorrhagic. An MRI of the cerebellum shows the location of the infarct, indicating its aetiology. An MRI of the cerebellum is often helpful in identifying these rare cases, which can be difficult to diagnose. When they are large infarcts, however, they are usually fatal due to edema or compression of the brainstem. Additionally, MRI images may also reveal thromboembolism, which is present in 30% of cases.

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The clinical spectrum of cerebellar stroke is wide and varies from comatose to neurocognizable. Early detection and neurosurgical intervention are essential to avoid potentially unnecessary surgical interventions. In addition, it is critical to establish the extent of neurologic salvageability. Often, patients with cerebellar infarction are in a coma or unconscious, and determining the cause of the stroke is difficult. If a patient has a high index of suspicion, a MRI may help confirm the diagnosis.

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A standard brain CT scan is not a reliable indicator of cerebellar ischemic stroke because the cerebellum is low in the brain and protected by bone. For this reason, MRI is more accurate. However, it requires a longer time to complete. An emergency brain MRI is not recommended in neurologically unstable patients. For those patients who are neurologically stable, a standard CT scan may be adequate. However, MRI can be risky when the patient is neurologically unstable.

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Infarcts that are less than 2 cm in diameter are known as very small cerebellar infarcts. They deserve more attention and are more difficult to diagnose. We analyzed the classification system, terminology and mechanisms of very small infarcts in patients with cerebellar stroke. All authors contributed substantially to conception and design of the study. They also read and approved the final manuscript. While the study found no specific cause of the disease, it showed a strong correlation between very small cerebellar infarcts and the size and location of the brain.

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The symptoms of cerebellar stroke are similar to those of stroke, with higher mortality rates in large ischemic territories. However, early recognition and treatment has reduced the morbidity associated with cerebellar infarction. Delay in recognition or treatment of cerebellar stroke may lead to a recurrent cerebral edema and eventual death. Other symptoms associated with cerebellar stroke include functional debility, thrombolism, kidney failure, and ethanol or drug intoxication.

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Another common symptom of cerebellar stroke is difficulty walking. The affected limbs may have difficulty controlling fine motor movements, and the corresponding trunk muscles may have trouble coordinating. The limbs may appear shaky or jerky. The leg may also suffer ataxia. The patient may experience unsteady strides and difficulty with coordination. This condition can be life-threatening and require immediate medical care. The severity of cerebellar stroke depends on the location, size, and age of the stroke.

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For those with limited physical mobility, occupational therapy is an important part of rehabilitation. Occupational therapy helps patients perform everyday activities, such as getting dressed, bathing, and preparing meals. Vision training helps patients partially regain sight. During vision training, patients do specific eye exercises to stimulate the brain and improve the processing of visual input. These exercises can help a patient to function independently and reduce the risk of falling. They may also be prescribed assistive devices for walking and/or balancing.