Pediatric Cerebellar Hemorrhage

  • Etiology: Trauma, anticoagulation
  • Imaging: Blood within cerebellar parenchyma
  • DDX:
  • Complications:
    — Acutely see obstructive hydrocephalus
    — Chronically see cerebellar hypoplasia
  • Treatment: Evacuation of clot
  • Clinical:

Radiology Cases of Cerebellar Hemorrhage

Radiology Cases of Cerebellar Hemorrhage Due to Vacuum Extraction

CT of cerebellar hemorrhage
Axial (left) and coronal (right) CT without contrast of the brain shows a small, round, dense lesion in the left cerebellar hemisphere. The coronal image also shows a dense fluid collection in the left superior subcutaneous tissues of the skull which crosses the sagittal suture in the midline.

Radiology Cases of Cerebellar Hemorrhage Due to ECMO

CT of cerebellar hemorrhage on extracorporeal membrane oxygenation (ECMO)
Axial and coronal CT without contrast of the brain shows three round mixed density lesions in the cerebellum compressing the fourth ventricle and causing hydrocephalus. The fluid-fluid levels in the lesions were felt to represent active bleeding.