Intracerebellar Hemorrhage in a Young Adult

JOURNAL TITLE: Indian Journal of Critical Care Medicine

Author
1. Atul Saroch
2. Ashok K Pannu
3. Navneet Sharma
ISSN
0972-5229
DOI
10.5005/jp-journals-10071-23330
Volume
24
Issue
1
Publishing Year
2020
Pages
1
Author Affiliations
1. com.mps.common.model.Contributor@448cc21e ,
2. com.mps.common.model.Contributor@70562dab ,
3. com.mps.common.model.Contributor@7278aeec
Article keywords
Cannabis, Intracerebellar hemorrhage, Young stroke

Abstract

A 28-year-old male was admitted with a history of sudden onset headache, multiple episodes of vomiting, gait disturbance with swaying toward right side, and blurring of vision for 2 days. The patient was conscious, cooperative, and oriented, and his vitals were normal. Bilateral gaze-evoked nystagmus was present. Motor and sensory examinations were within normal limit, and deep tendon reflexes were 2+ in all four limbs. Cerebellar examination reveals positive finger–nose test and dysdiadochokinesia on right side. A computed tomography of head showed acute intraparenchymal hemorrhage in right cerebellar hemisphere with effacement of fourth ventricle and mild hydrocephalus. Computed tomography angiography of cerebral vessels was normal. The coagulation profile (international normalized ratio: 1.02), renal function test, and liver function tests were within normal limit. Urine toxicology screen was positive for tetrahydrocannabinoid. The patient was diagnosed with right cerebellar bleed and cannabis abuse. The patient managed conservatively with intravenous mannitol and was discharged in hemodynamic stable condition.

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