Traumatic Cerebellar Hemorrhage Caused by Fall
10.2185/jjrm.64.45
- VernacularTitle:柿の木から転落して受傷した外傷性小脳血腫の1例
- Author:
Takeshi SATOW
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2015;64(1):45-49
- CountryJapan
- Language:Japanese
-
Abstract:
Traumatic cerebellar hemorrhage is a rare condition. This paper reports a case of traumatic cerebellar hemorrhage associated with supratentorial acute subdural hematoma due to a fall from a persimmon tree, who underwent emergency surgical evacuation of supra- and infratentorial hematoma, leading to an excellent outcome. The patient is a 65-year-old male. He was transferred to our emergency room, since he had a transient episode of loss of consciousness after the fall and hit his occiput on the ground. CT scans of the brain disclosed traumatic hemorrhage in the cerebellum and bilateral frontal area. On admission, he was alert and oriented. He complained of slight numbness on his right hand. Four hours after admission, he became comatose, and CT scans showed enlargement of supratentorial acute subdural hematoma with midline shift and brain swelling around the cerebellar area where hemorrhage occurred. Emergency surgery for evacuation of hematoma in both supra- and infratentorial region was performed. Postoperatively, he made an uneventful recovery and was discharged from the hospital without any neurological deficit. Prompt surgical treatment to prevent neurological deterioration in traumatic intracranial hemorrhage is essential for achieving a good outcome. The branches of the persimmon tree are prone to be broken off. Methods of preventing falls or minimizing the risk of injuries should be developed.
