Cerebellar Stroke - Oren Zarif - Cerebellar Stroke
A large proportion of cerebellar stroke patients suffer a variety of neurological symptoms, including headache, vertigo, and gait ataxia. In the absence of a specific diagnosis, these patients require prompt medical treatment. Fortunately, there are several interventions available to help treat cerebellar stroke. A focus on neurological examination can help determine the diagnosis. In some cases, surgery may be necessary. For these patients, a high index of suspicion is necessary.
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The early detection of cerebellar stroke is the first step in preventing permanent disability. Early treatment and rehabilitative interventions can greatly improve your chances of a successful recovery. Some simple modifications around the home can help you make the most of your daily activities. Adding handrails to stairwells can prevent dangerous slips, and purchasing properly fitting shoes can minimize the risk of injuries caused by ataxic gait.
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Elastic waistbands and hook-and-loop shoes can help patients with poor fine motor skills.
Very small cerebellar infarcts are frequently seen on neuroimaging studies. Although the origins of such lesions are uncertain, they are believed to result from inadequate flow in the border zone between perfusion territories. Cerebellar infarcts may be classified according to their location and morphology. They may occur in any of three regions of the cerebellum. This classification is not definitive at present, and future studies may reveal an additional factor.
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In isolated cerebellar ischaemic stroke, delayed cerebral atrophy is common. The extent of cerebral atrophy depends on the volume of the stroke. Delay cerebral atrophy, if present, has a negative effect on clinical outcome. The location of the delayed atrophy in a patient who has undergone cerebellar stroke may be crucial to a positive outcome. But luckily, the treatment of cerebellar stroke should be as aggressive as possible.
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In the case of a patient who develops a cerebellar infarction, the severity of the symptoms varies. If the infarct is large, it may involve cerebellar cortex along with adjacent white matter. Otherwise, it may affect just the cerebellum. In the latter case, it may involve a small area, sparing white matter, or both. The apex of cerebellar fissures is most commonly affected.
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Imaging findings can help determine a precise surgical approach for patients with cerebellar infarctions. However, imaging alone cannot make a decision about aggressive surgical management. The overall clinical gestalt of the patient should remain the most important consideration. Patients with cerebellar infarction should be observed in the neurologic intensive care unit, which facilitates timely recognition of any neurologic deterioration. Occasionally, a ventriculostomy can be sufficient for temporizing the patient. In most cases, a craniectomy may be necessary for definitive treatment of progressive compression of the brainstem.
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Cerebellar stroke patients are at increased risk for psychiatric disorders such as depression and bipolar disorder. While the causes of cerebellar stroke are not clear, recent neuroimaging and clinical research suggest that this ailment may be connected with various psychiatric presentations. However, it is still unknown whether this diagnosis will be definitive until more research is done. The treatment for cerebellar stroke is dependent upon the severity of the brain injury.
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A cerebellar stroke can be a very rare form of a stroke, occurring in less than two percent of all cases. Cerebellar stroke symptoms can vary from person to person, but it is crucial to ask the right questions and follow the rehabilitation regimen prescribed by your doctor. You'll also discover how to treat specific cerebellar stroke symptoms and a rough timeline for recovery. There are also several ways to treat cerebellar stroke, including exercise and physical therapy.
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In some cases, isolated cerebellar infarctions can result in a low NIHSS score. This does not mean, however, that patients with cerebellar strokes have a lower prognosis. Although isolated cerebellar strokes do not always result in high NIHSS scores, patients with PICA territory strokes may face a significantly worse prognosis. Further studies are needed to investigate whether patients suffering from larger cerebellar strokes will recover as expected.