====== Spontaneous cerebellar hemorrhage etiology ====== Etiologies are similar to ICH of any location; however, some nuances: 1. [[Hypertension]] is a factor in up to two-thirds of [[cerebellar hemorrhage]]s 2. [[Cerebellar Arteriovenous Malformation]] is a consideration, an [[aneurysm]] is very rare (possibly [[AICA aneurysm]], but usually only in association with other high-flow lesions, e.g. AVM) 3. may be related to recent previous spinal or supratentorial surgery ---- Hypertensive [[cerebellar hemorrhage]] may be the first presentation of underlying tumor, specifically [[cerebellar glioblastoma multiforme]]. Patients undergoing surgery for cerebellar hemorrhage should have clot specimens sent for histologic examination and have pre- and postcontrast MRIs. Patients not undergoing surgery should have MRIs done after hematoma resolution to rule out underlying tumor ((Lakičević G, Arnautović K, Mužević D, Chesney T. Cerebellar glioblastoma multiforme presenting as hypertensive cerebellar hemorrhage: case report. J Neurol Surg Rep. 2014 Aug;75(1):e117-21. doi: 10.1055/s-0034-1376198. Epub 2014 May 28. PubMed PMID: 25097829.)). [[Cerebellar hemorrhage from Cerebellar Arteriovenous Malformation]]