Ecury-Goossen et al studied the clinical presentation of a preterm infant with cerebellar hemorrhage. Cerebellar hemorrhage may be associated with behavioral dysfunction, cognitive problems, and increased mortality. The authors are from Erasmus Medical Center-Sophia Children's Hospital in Rotterdam.


Patient selection: premature infant, especially very low birth weight


Onset of cerebellar hemorrhage was usually within the first month after delivery.


Types of cerebellar hemorrhage seen on imaging studies:

(1) subarachnoid

(2) folial

(3) lobar

(4) bilateral lobar

(5) giant lobar including vermis

(6) contusional


Findings that should prompt an evaluation for cerebellar hemorrhage:

(1) unexplained motor agitation (including nonseizure jerking of limbs, etc)

(2) unexplained dilatation of the cerebral ventricles


Cranial ultrasound should be performed through both the anterior and mastoid fontanelles. It should include a specific evaluation of the posterior fossa.


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