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Article

Rare Case of Bilateral Cerebellar Hemorrhage in a Male Boxer

1Division of Cardiovascular Disease, Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, New York, U.S.A- 11203

2Ross University School of Medicine, Miramar, Portsmouth, Dominica- 00109

3Department of Internal Medicine, Brookdale University Hospital and Medical Center, Brooklyn, NY, U.S.A- 11203

4Department of Internal Medicine, NYC Health and Hospitals/Jacobi Medical Center, Bronx, New York, U.S.A-10461

5Base PU College, Rajajinagar, Bangalore, India- 560010

6Department of Internal Medicine, State University of New York: Downstate Medical Center, Brooklyn, New York, United States-11203


American Journal of Medical Case Reports. 2019, Vol. 7 No. 10, 236-239
DOI: 10.12691/ajmcr-7-10-4
Copyright © 2019 Science and Education Publishing

Cite this paper:
Pramod Theetha Kariyanna, Alix Charles, Muhammad Faizan Ahmed, Apoorva Jayarangaiah, Sushruth Das, Mohammed Al-Sadawi, Madina Abduraimova, Samy I. McFarlane. Rare Case of Bilateral Cerebellar Hemorrhage in a Male Boxer. American Journal of Medical Case Reports. 2019; 7(10):236-239. doi: 10.12691/ajmcr-7-10-4.

Correspondence to: Samy  I. McFarlane, Department of Internal Medicine, State University of New York: Downstate Medical Center, Brooklyn, New York, United States-11203. Email: Samy.mcfarlane@downstate.edu

Abstract

The sport of boxing carries with it the risk of brain injury with acute and chronic neurological injuries such has contusion, concussion and intracranial bleeding has been reported. The force sustained from a boxing blow can be as powerful as being hit with a 6-kg wooden mallet striking at 20 mph. Bilateral cerebellar hemorrhage secondary to trauma is a rare entity that has not been reported in the literature previously. One can only speculate as to how a boxer could potentially develop a cerebellar bleed. Regardless of whether a very powerful punch or the act of falling back and hitting the occipital region directly on the floor, it is very likely that a predisposing factor exist. We present you a rare case of a 26 year-old male boxer who was knocked out in a boxing match and was noted to have acute parenchymal and subarachnoid hemorrhage bilaterally in the cerebellar hemispheres. Our report highlights the need to consider cerebellar bleed in boxers who present after ataxia after boxing/knocked out.

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