PMC3647378_01
CT findings of the brain. (A) Left cerebellar hemorrhage and brainstem hemorrhage with IVH shown in the preoperational CT. (B) Encephalomalacia change in the left cerebellum and midbrain (30 days after the emergent operation).. Abbreviations: CT, computed tomography; IVH, intraventricular hemorrhage.
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The head computed tomography scan showed a large acute hematoma in the left cerebellum (48 mm x 46 mm) ruptured into the fourth ventricle, which caused an intraventricular hemorrhage, and another acute hematoma in the pons and midbrain (20 mm x 20 mm) (Figure 1A). Intraventricular hemorrhage with external ventricular drain insertion was likewise performed (Figure 1B).
High fever with marked temperature fluctuation was noted during the clinical course.. Notes: Blood pressure, heart rate, and respiratory rate were within the normal range. The body temperature stabilized after the administration of bromocriptine.
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Consciousness improvement was noted using the Glasgow Coma Scale from E1VtM1 to E4VtM5; however, intermittent fever had also been noted since his admission (Figure 2). Another week later, the body temperature baseline was reduced to 37 C, and low-grade fever with minor temperature fluctuations occurred only occasionally (Figure 2).