Chronic subdural hematoma in posterior cranial fossa at patient with hypertensive intracerebellar hemorrhage

Abstract

We demonstrate the clinical case of successful surgical treatment of such rare variant of hypertensive hemorrhage as chronic subdural hematoma of posterior cranial fossa. This pathology is difficult for clinical and instrumental diagnostics because of absence of pathognomonic clinical signs and low чувствительности of routine brain CT for such type of hemorrhage. The brain stem compression and occlusive hydrocephalus developed with such localization of hematoma lead to rapid progression of neurological deficit and unfavorable outcome. It is necessary to use modern instrumental methods of neurovisualization (MRI, brain stem evoked potentials) which allows choosing the correct surgical strategy for successful diagnostics and treatment of such rare hematomas.