Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with sudden onset of severe headache, vertigo, nausea, and vomiting. Associated symptoms include gait instability, truncal ataxia, and dysarthria. No history of trauma. Symptoms suggestive of acute cerebellar hemorrhage.
Clinical Examination Findings
Patient appears in acute distress. Vital signs: BP [ ]/ [ ], HR [ ], RR [ ], SpO2 [ ]. Cardiovascular: Regular rhythm, no murmurs. Respiratory: Clear to auscultation bilaterally. Abdomen: Soft, non-tender. Skin: No signs of trauma or ecchymosis.
Treatment Protocol
Immediate admission to Neuro-ICU. Strict blood pressure control (target SBP <140 mmHg). Correction of coagulopathy if present. Neurosurgical consultation for possible hematoma evacuation or EVD placement. NPO status, DVT prophylaxis, and seizure precautions.