What You Need to Know About Cerebellar Stroke - Oren Zarif - Cerebellar Stroke

The most common secondary effects of a cerebellar stroke include loss of balance and ataxia of speech. The good news is that regular speech and physical therapy can help patients with these conditions. Researchers aren't certain how much these stroke victims will recover, but they do know that the brain is surprisingly plastic and can adapt to the injuries. With these therapies, a stroke victim can learn new ways to do everyday tasks, including getting dressed, eating, and bathing.

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Unfortunately, early studies of cerebellar stroke were not helpful in diagnosing the condition. The earliest studies of cerebellar stroke focused on the final prognosis of patients, and whether or not intervention had an impact on the patient's outcome. Today, though, we have advanced enough to be able to detect cerebellar hemorrhage and infarct with neuroimaging. Surgical evacuation is often lifesaving in patients with cerebellar stroke.

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The most important thing for patients with cerebellar stroke is to treat the cause of the stroke. The brain chemistry of cerebellar stroke has a lot to do with how the patient's symptoms will change after the onset of the stroke. Patients with cerebellar infarction should be monitored closely by the neuroscience staff and reexamined frequently by a physician. If the patient is stable, there's a high probability of recovery.

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A standard brain CT scan can miss a cerebellar ischemic stroke because the cerebellum is so low in the brain. In contrast, a brain MRI is better able to detect cerebellar ischemia, but it takes longer to complete. It's not always safe to do a brain MRI in a patient who is neurologically unstable. However, a brain CT can show a brain bleed or a hemorrhage quickly enough to diagnose cerebellar stroke.

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Symptoms of cerebellar stroke are non-specific and can include vision problems and difficulty with coordination. Patients suffering from cerebellar stroke may ignore these symptoms, or only notice the symptoms once the stroke has progressed. It's important to seek medical attention as soon as symptoms become severe. So what do you need to know about cerebellar stroke? There are several important diagnostic tests that can help you determine the cause of your symptoms.

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The vascular territory of the cerebellar artery determines neurologic deficits. Infarction in the posterior inferior cerebellar artery territory causes headache, horizontal ipsilateral nystagmus, and truncal ataxia. Infarction in the anterior inferior cerebellar artery territory causes facial paralysis, dysmetria, and unilateral hearing loss. But not all cerebellar artery infarctions are the same.

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The clinical features of cerebellar strokes are helpful in making a decision regarding treatment. However, imaging findings alone cannot determine the outcome of surgery in this patient type. The overall clinical gestalt of the patient should be the primary consideration in deciding whether to perform surgery or not. Although a ventriculostomy may be sufficient in the short term, craniectomy is the definitive treatment for progressive brainstem compression. Surgical treatment for a cerebellar stroke should be a last resort.

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However, there is no definitive answer to the underlying pathophysiology of cerebellar infarcts. Postmortem pathology studies have shown that small cerebellar infarcts are relatively rare, but can cause significant impairment in gait. Cerebellar microinfarcts may be detected with neuroimaging (MRI) techniques, including diffusion-weighted imaging. If a cerebellar infarct is present in a patient, then the MRI may not be effective in detecting it.

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MRI scans should be obtained promptly after a cerebellar stroke. MRIs are not necessary to identify a cerebellar artery disease, but they can help guide treatment. In the study, two MRI scanners were used to detect an SCCI. In the final analysis, both MRIs and CTs were consistent, with good inter-rater agreement. One rater evaluated MRI scans at 48 h, while the other assessed CT scans at 72 h.

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Patients were initially enrolled in a study involving 22 patients. Seven patients were removed from the study for various reasons, but fifteen were eventually analyzed. In eleven cases, the cerebellar lesions were located in the PICA and SCA territory, while one patient had a combined SCA-AICA lesion. All patients provided written informed consent and the study was approved by the local ethics committee. The results were reported as rate ratios.

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The cerebellum is the part of the brain that controls balance, coordination of eye and body movements. It is located at the back of the brain, on the left and right sides, and is connected to several blood vessels. When a stroke affects the cerebellum, it can cause paralysis, or death. It is important to seek treatment for cerebellar stroke immediately. This can result in permanent disability and loss of life. For more information on cerebellar stroke, visit the American Academy of Neurology website.