Severe Cerebellar Hemorrhage Occurring in A Patient During Treatment for Arteriosclerotic Parkinsonism and Hypertension.

An Autopsy Case Reported as a Contribution towards Control against Possible Cerebellar Hemorrhage.

Abstract

Reported here is the autopsy of a 65 year old female who had succumbed to a severe cerebellar hemorrhage suddenly occurring during treatment for hypertension, diabetes mellitus, and arterio-sclerotic parkinsonism.
Collation of the autopsy findin gs with the clinical symptoms disclosed, as the prodrome of the cerebellar hemorrhage, the appearance of signs of insufficiency of the vertebrobasillar and cerebellar arteries (such as persistence of drug-resistant hypertension, orthostatic hypotension, syncope and carotic artery's loss of reflex) and signs of parasympathicotonia, vertige, vomiting, nystagmus, oculogyric crisis and desequilibration.
It is emphasized that if these symptoms or signs are found in old patients, the cerebellar ataxia should be examined and the general condition, especially the blood pressure, should be controlled.