Cerebellar Stroke

The cerebellum is located in the lower part of the brain, towards the back. This part of the brain plays a role in body movement, eye movement, and balance. A cerebellar stroke occurs when the brain’s blood supply to this area is interrupted. Without blood, the brain tissue quickly dies. This results in the loss of certain functions. A stroke is a serious condition that needs emergency care. There are two main types of stroke ischemic and hemorrhagic. An ischemic stroke is the most common type of stroke.

  • Causes

    An ischemic stroke is caused by a blockage of the blood flow, which may be due to:

    • A clot from another part of the body like the heart or neck. The clot breaks off and flows through the blood until it becomes trapped in a blood vessel supplying the brain.
    • A clot that forms in an artery that supplies blood to the brain.
    • A tear in an artery supplying blood to the brain. Called an arterial dissection.

    A hemorrhagic stroke is caused by a burst blood vessel. Blood spills out of the broken blood vessel and pools in the brain. This interupts the flow of blood and causes a build up of pressure on the brain.

  • Definition

    The cerebellum is located in the lower part of the brain, towards the back. This part of the brain plays a role in body movement, eye movement, and balance.


    A cerebellar stroke occurs when the brain’s blood supply to this area is interrupted. Without blood, the brain tissue quickly dies. This results in the loss of certain functions. A
    stroke
    is a serious condition that needs emergency care.

    Cerebellum
    IMAGE
    Copyright © Nucleus Medical Media, Inc.

    There are two main types of stroke ischemic and hemorrhagic. An ischemic stroke is the most common type of stroke.

  • Diagnosis


    The doctor will do a physical exam and look for muscle weakness, visual and speech problems, and movement difficulty. If possible, you will be asked about your symptoms and medical history. Your doctor may use a
    CT scan
    or
    MRI scan
    of the brain to confirm a stroke or rule out other conditions.

    Your doctor may also order tests that create detailed images of blood vessels. These test will help see which blood vessels may be creating the problem:

    • Magnetic resonance angiography
      (MRA)

      —maps blood flow
    • CT angiogram (CTA)—creates detailed images of the blood vessels and their blood flow
    • Doppler ultrasound
      —evaluates flow of blood in the head and neck

    Blood tests can also help identify clotting problems in the blood. Your doctor may also examine the fluid that surrounds your brain and spine.

  • Prevention

    Many of the risk factors for stroke can be changed. Lifestyle changes that can help reduce your chance of getting a stroke include:

    • Exercise regularly.

    • Eat more
      fruits, vegetables
      , and
      whole grains
      . Limit dietary
      salt
      and
      fat
      .
    • Stop smoking
      .
    • Increase your consumption of fish.
    • Drink alcohol only in moderation (1-2 drinks per day).
    • Maintain a healthy weight.
    • Check blood pressure frequently
      . Follow your doctor's recommendations for keeping it in a safe range.
    • Take aspirin if your doctor says it is safe.
    • Keep chronic medical conditions under control. This includes high cholesterol and diabetes.
    • Talk to your doctor about the use of a statins. These types of drugs may help prevent certain kinds of strokes in some people.
    • Seek medical care if you have symptoms of a stroke, even if symptoms stop.
    • Stop the use of recreational drugs (eg, cocaine, heroin, amphetamines).

  • Risk Factors

    Certain factors increase your risk of stroke but can not be changed, such as:

    • Race—People of African American, Hispanic, or Asian/Pacific Islander descent are at increased risk.
    • Age: Older than 55 years of age
    • Family history of stroke

    Other factors that may increase your risk can be changed such as:

    • Drug abuse
      from cocaine, amphetamines, or heroin use
    • Smoking
    • Physical inactivity

    Certain medical condition that can increase your risk of stroke. Management or prevention of these conditions can significantly decrease your risk. Medical conditions include:

    • High blood pressure
    • High cholesterol levels—specifically high-LDL bad cholesterol
    • Low bone mineral density, especially in women
    • Obesity and metabolic syndrome
    • High blood homocysteine level
    • Atherosclerosis
    • Diabetes mellitus
      or impaired glucose tolerance
    • Atrial fibrillation
    • Blood disorders such as sickle cell disease
      and polycythemia
    • Vascular dementia
    • Disease of heart valves, such as
      mitral stenosis

    • Prior stroke or cardiovascular disease, such as
      heart attack
    • Peripheral artery disease
    • Transient ischemic attack (TIA)
      —a warning stroke with stroke-like symptoms that go away shortly after they appear
    • Conditions that increase your risk of blood clots such as:
      • Cancer
      • Certain autoimmune diseases
    • Migraine with aura
    • Having a blood vessel abnormality

    Risk factors specific to women include:

    • Previous pre-eclampsia
    • Use of birth control pills,
      especially if you are over 35 years old and smoke

    • Long-term use of
      hormone replacement therapy
    • Menopause
    • Pregnancy—due to increased risk of blood clots

  • Symptoms

    Symptoms of a cerebellar stroke come on suddenly and may include:

    • Uncoordinated movements of the limbs or trunk (ataxia)
    • Difficulty walking, including problems with balance
    • Abnormal reflexes
    • Tremors
    • Vertigo (feeling of spinning or whirling when you are not moving)
    • Nausea and vomiting
    • Intense headache
    • Speech problems and difficulty swallowing
    • Problems sensing pain and temperature
    • Difficulty hearing
    • Problems with vision (eg, eyes move rapidly, difficulty controlling eye movement)
    • Problems with eyes (eg, small pupil, droopy eyelid)
    • Loss of consciousness

    If you or someone you know has any of these symptoms,
    call for emergency medical services right away. Brain tissue without blood flow dies quickly. Early care can decrease damage.

  • Treatment

    Immediate treatment is needed to:

    • Dissolve or remove a clot (for ischemic stroke)
    • Stop bleeding (for hemorrhagic stroke)