Large Cerebellar Infarct Complicated with Acute Hydrocephalus Required Emergency VP Shunt: A Case Report

Abstract

Acute hydrocephalus is a rare manifestation of posterior circulation ischemic strokes. Because it can lead to serious brain issues, this condition is seen as one of the most dangerous results of cerebellar infarction. Patients who suffer from cerebellar infarcts are challenging to treat since they typically exhibit vague symptoms and signs until consciousness severely deteriorates.  Standard management by a dedicated stroke unit team or neurointensive care unit may not always be possible because of a lack of infrastructural facilities in rural areas and delayed presentation.  Here we report a case of a 35-year-old male who presented to us with sudden deterioration of consciousness with a 4-day history of nonspecific headache and vomiting. Subsequently, he underwent an emergency VP shunt for acute hydrocephalus due to a large cerebellar stroke and recovered well without any neurological deficit.