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Non-Specific Symptoms of Cerebellar Stroke - Oren Zarif - Cerebellar Stroke

The symptoms of cerebellar stroke are non-specific and depend on the location and extent of the lesion. In order to make an accurate diagnosis, a thorough history and neurological examination are necessary. The following is a list of possible symptoms and how they may be related to cerebellar stroke. In some cases, patients may not even have any symptoms at all. A diagnosis of cerebellar stroke is made with the help of a neurological exam and imaging.

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Non-specific symptoms are more likely to occur with cerebellar stroke than other types. Survivors of cerebellar stroke may have no apparent symptoms, such as vision problems or difficulties with coordination. Because they may not notice symptoms until they become severe, they may fail to seek medical care. Unfortunately, this can lead to further complications. In addition, it can lead to brainstem compression and hydrocephalus, a potentially fatal complication of cerebellar stroke.

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Traditional classification of cerebellar stroke includes large and very small infarcts based on their location in the cerebellum. Large infarcts are associated with dramatic clinical outcomes, but small infarcts are not yet reliably classified. Despite recent advances in imaging techniques, the pathophysiologic mechanisms underlying cerebellar stroke are still largely unknown. Cerebellar infarcts are often classified according to their location, such as hemispherical, anterior or posterior lobes.

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Treatment for cerebellar stroke may include a combination of physical and cognitive therapy. Physical therapists may recommend exercises for balance and core stability. Other exercises can address language difficulties. A Speech-Language Pathologist will diagnose the patient and help create an exercise program tailored to their needs. Cognitive training may improve executive functions, memory, and speech. Rehabilitation can take many forms, including occupational therapy, cognitive training, and speech therapies. The goal is to restore the patient's independence as much as possible.

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The prognosis of cerebellar infarction and hemorrhage is similar to that of stroke, but large ischemic territories are associated with more mortality and morbidity. With early recognition and treatment, cerebellar hemorrhage and infarction have a reduced mortality rate. In some cases, delayed diagnosis can lead to cerebral edema or coma, and a high index of suspicion may help physicians make a correct diagnosis.

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Depending on the location of the hemorrhage, a patient may experience a mass effect in the posterior fossa. This area has a much smaller volume and is more vulnerable to a subdural hematoma than the supratentorial compartment. In some cases, patients may experience progressive loss of alertness, obliteration of the fourth ventricle, or acute hydrocephalus. Surgery is typically required if the patient has symptoms of cerebellar stroke.

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In addition to coordinating the movement of the body, the cerebellum also regulates eye movements and coordination of eye movements. This small area of the brain is supplied by several blood vessels and is situated in the lower back of the brain. Cerebellar stroke typically affects one side of the cerebellum. Its location and functions make it susceptible to stroke. This type of stroke can also affect the patient's cognitive and emotional functioning.

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Although cerebellar stroke can be classified as ischemic or hemorrhagic, the pathogenesis of these infarcts is the same. Both types of stroke are caused by an obstruction in a blood vessel. Ischemic strokes can be classified according to their source. Cerebellar infarcts can occur in small vessels, large vessels, or a combination of both. In the case of an arterial dissection in the cerebellum, the lesion is located in the vertebral arteries.

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Surgical treatment for acute cerebellar stroke has been associated with an improved prognosis. The combined EVD and SDC, for example, showed a 78.6% survival rate when performed by itself. Despite this, it is not entirely clear which treatment is best. In general, physicians are concerned about the potential for neurologic deterioration. A large retrospective study found that 46% of initially alert patients with cerebellar hemorrhage deteriorated neurologically. Deterioration was associated with a reduced level of consciousness, the appearance of new brainstem signs, and worsened motor responses on the GCS.

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Cerebellar stroke is often asymptomatic, with nonspecific symptoms such as dysmetria, dysarthria, and ataxia. Patients may also have affective dysregulation. Small cerebellar infarts may present with similar clinical symptoms, and the signs and symptoms may be subtle. It is crucial to recognize a cerebellar infarction as early as possible to avoid futile intervention. If you suspect cerebellar stroke, consult with your doctor immediately.

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