Rare Case of Bilateral Cerebellar Hemorrhage in a Male Boxer

Pramod Theetha Kariyanna¹, Alix Charles², Muhammad Faizan Ahmed³, Apoorva Jayarangaiah⁴, Sushruth Das⁵, Mohammed Al-Sadawi⁶, Madina Abduraimova⁶ and Samy I. McFarlane^6,

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

Cite this paper

Pramod Theetha Kariyanna, Alix Charles, Muhammad Faizan Ahmed, Apoorva Jayarangaiah, Sushruth Das, Mohammed Al-Sadawi, Madina Abduraimova and 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

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.

Keywords

bilateral cerebellar hemorrhage, boxing

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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