Abstract
A 67-year-old previously healthy man presented with sudden onset of headache, vomiting, and instability of stance and gait. Neurologic examination demonstrated bilateral dysmetria of the limbs, ataxia, and scanning speech. Neuroimaging showed bilateral cerebellar hemorrhage and altered signal of the superior vermian vein suggestive for thrombosis (figures 1 and 2). Workup for hematologic, coagulation, and immunologic disorders was negative. Acknowledgment : The authors thank Dr. Francesca Lupidi (Neurological Clinic, University Hospital of Ancona, Italy) and Dr. Natalie Herber (Department of Neuroradiology, University Hospital of Ancona, Italy) for editing assistance.
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