Cerebellar Hemorrhage Medication

Updated: Apr 19, 2022
  • Author: Sonal Mehta, MD; Chief Editor: Helmi L Lutsep, MD  more...
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Medication Summary

No specific drug therapy exists for cerebellar hemorrhage (CH). Medications useful in treating hypertension (eg, labetalol, nicardipine, clevidipine) and increased ICP (eg, mannitol) may have a limited role in the acute phase. See the article Intracranial Hemorrhage for details.

Patients with an identified coagulopathy may require fresh frozen plasma or other products such as prothrombin complex concentrate that are specific for the coagulopathy. In patients with direct oral anticoagulant (DOAC)–induced coagulopathy, treatment with the specific antidote is recommended. There is great heterogeneity in clinical practice for treatment of patients with intracerebral hemorrhage regarding management of blood pressure, treatment of coagulopathy, and treatment of patients on antiplatelet therapy. Though no specific information addresses consideration of patients with cerebellar hemorrhage, it seems reasonable to extrapolate some concepts from the principles and guidelines that guide treatment of intracerebral hemorrhage. For patients on antiplatelet therapy, transfusion of platelets or treatment with desomopressin (DDVAP) may be considered but are not routinely recommended. [26] Further study is needed.