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Interesting Cases

Neuro

Neuro 10

14 May, 2026

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A patient is obtunded post lumbar spine intra-dural surgery. What's the diagnosis?

Intraparenchymal cerebellar haemorrhage, centred to the left of the midline and showing subarachnoid and intraventricular extension raises concern for possible ‘remote cerebellar haemorrhage’ in this clinical context. Signs of obstructive hydrocephalus are evident, due to the intraventricular blood within the fourth ventricle and mass effect on the fourth ventricle from the haemorrhage and oedema