A patient with cerebellar hemorrhage and hematoma may present with a number of clinical signs and symptoms.


Clinical findings may include combinations of:

(1) headache

(2) nausea and vomiting

(3) vertigo and/or dizziness

(4) ataxia (gait, limb and/or truncal)

(5) dysarthria

(6) altered mental status (confusion, drowsiness, other)

(7) an elevated systolic blood pressure (may be > 200 mm Hg)

(8) bradycardia (heart rate < 60 beats per minute)

(8) changes to pupils (anisocoria, pinpoint)

(10) abnormal corneal or oculocephalic reflexes

(11) abnormal movements of extraocular eye muscles (nystagmus, gaze paresis, other)

(12) facial paresis/palsy

(13) hemiparesis

(14) Babinski sign



• Dysautonomia may be manifested by bradycardia and the marked elevation in systolic blood pressure.


Ott's triad may be seen in a minority of patients:

(1) ipsilateral facial palsy

(2) gaze paresis

(3) limb ataxia


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