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VOLUME 24 , ISSUE 1 ( January, 2020 ) > List of Articles

CASE REPORT

Intracerebellar Hemorrhage in a Young Adult

Ashok K Pannu, Atul Saroch, Navneet Sharma

Keywords : Cannabis, Intracerebellar hemorrhage, Young stroke

Citation Information : Pannu AK, Saroch A, Sharma N. Intracerebellar Hemorrhage in a Young Adult. Indian J Crit Care Med 2020; 24 (1):69-70.

DOI: 10.5005/jp-journals-10071-23330

License: CC BY-NC 4.0

Published Online: 00-01-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

A 28-year-old male was admitted with a history of sudden onset headache, multiple episodes of vomiting, gait disturbance with swaying toward right side, and blurring of vision for 2 days. The patient was conscious, cooperative, and oriented, and his vitals were normal. Bilateral gaze-evoked nystagmus was present. Motor and sensory examinations were within normal limit, and deep tendon reflexes were 2+ in all four limbs. Cerebellar examination reveals positive finger–nose test and dysdiadochokinesia on right side. A computed tomography of head showed acute intraparenchymal hemorrhage in right cerebellar hemisphere with effacement of fourth ventricle and mild hydrocephalus. Computed tomography angiography of cerebral vessels was normal. The coagulation profile (international normalized ratio: 1.02), renal function test, and liver function tests were within normal limit. Urine toxicology screen was positive for tetrahydrocannabinoid. The patient was diagnosed with right cerebellar bleed and cannabis abuse. The patient managed conservatively with intravenous mannitol and was discharged in hemodynamic stable condition.


  1. Feigin VL, Lawes CM, Bennett DA, Anderson CS. Stroke epidemiology: a review of population-based studies of incidence, prevalence, and case-fatality in the late 20th century. Lancet Neurol 2003;2(1):43–53. DOI: 10.1016/S1474-4422(03)00266-7.
  2. Marini C, Totaro R, De Santis F, Ciancarelli I, Baldassarre M, Carolei A. Stroke in young adults in the community-based L’Aquila registry: incidence and prognosis. Stroke 2001;32(1):52–56. DOI: 10.1161/01.STR.32.1.52.
  3. Brust JC. Clinical, radiological, and pathological aspects of cerebrovascular disease associated with drug abuse. Stroke 1993;24(12 Suppl):I129–I133, discussion I134–I135.
  4. Akerele E, Olupona T. Drugs of abuse. Psychiatr Clin North Am 2017;40(3):501–517. DOI: 10.1016/j.psc.2017.05.006.
  5. Wolff V, Armspach JP, Lauer V, Rouyer O, Bataillard M, Marescaux C, et al. Cannabis-related stroke: myth or reality? Stroke 2013;44(2):558–563. DOI: 10.1161/STROKEAHA.112.671347.
  6. Johnson S, Domino EF. Some cardiovascular effects of marihuana smoking in normal volunteers. Clin Pharmacol Ther 1971;12(5):762–768. DOI: 10.1002/cpt1971125762.
  7. Singh NN, Pan Y, Muengtaweeponsa S, Geller TJ, Cruz-Flores S, et al. Cannabis related stroke: case series and review of literature. J Stroke Cerebrovasc Dis 2012;21(7):555–560. DOI: 10.1016/j.jstrokecerebrovasdis.2010.12.010.
  8. McEvoy AW, Kitchen ND, Thomas DG. Intracerebral haemorrhage and drug abuse in young adults. Br J Neurosurg 2000;14(5):449–454. DOI: 10.1080/02688690050175247.
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