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Acute cerebellar hemorrhage and CT evidence of tight posterior fossa

Department of Neurology and Psychiatry of the Tulane Medical School, Departments of Neurology of the Charity Hospital and the Veterans Administration Hospital of New Orleans, New Orleans. LA.

We studied 14 patients with cerebellar hemorrhage and a tight posterior fossa, defined by the following CT criteria: effacement of the basal cisterns and ventricular enlargement consistent with obstructive hydrocephalus. In 10 patients, the fourth ventricle was not seen; in 4, it was enlarged and filled with blood. Six patients died before surgery, and eight were treated surgically. Six patients with cerebellar hemorrhage but no CT evidence of a tight posterior fossa survived without surgery.

Address correspondence to Dr. Weisberg, Department of Neurology, 1430 Tulane Avenue, New Orleans, LA 70112.

Accepted for publication October 10, 1985.

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