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Dementia after surgery for cerebellar stroke

An unrecognized complication of acute hydrocephalus?

Neurology Services, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, and Department of Neurology, Harvard Medical School, Boston, MA.

Three patients became demented after surgery for cerebellar hemorrhage or infarction with acute hydrocephalus. All were inattentive, perseverative, and disoriented. They had difficulty with memory, and trouble solving arithmetic problems or copying geometric figures. None showed aphasia, apraxia, or agnosia, although one had word-finding difficulty. One improved substantially in 6 months; one improved slightly in 1 year, and one did not change. None had persistent hydrocephalus. Acute hydrocephalus may have damaged the periventricular white matter to cause the dementia.

Address correspondence and reprint requests to Dr. Levine, Burnham 802, Massachusetts General Hospital, Boston MA 02114.

Presented in part at the 35th annual meeting of the American Academy of Neurology, San Diego, CA, April 1983.

Accepted for publication August 6, 1984.