This is a retrospective study carried out by clinical analysis of the
authors' experience in 60 patients with cerebellar strokes-of which 39
were spontaneous cerebellar hemorrhage and 21 were cerebellar infarct
ion-to compare the clinical presentation, course, and prognosis. Hyper
tension was found to be the most important etiologic factor. Clinical
differentiation of cerebellar hemorrhage from infarction was not possi
ble, but the management was similar in both entities. Computerized tom
ography was necessary to make diagnosis of the stroke mechanism, In ev
aluating outcome, the authors conclude that the most important single
factor affecting the prognosis was the early correct diagnosis.