Official summarily 06/12/2011 – ‘On examination he was noted to have Ataxia, Vertigo Dysarthria and right sided Horner’s sign. C.T. brain showed Superior Cerebellar Infarct. A few hours post-admission his GCS decreased and he had extensive posturing. Brought into the Operation Theatre for a Tracheotomy with External ventricular drain insertion. (Sound’s fairly intense) Bilateral Infarct (Blood Clot) both sides of the Cerebellum, Hydrocephalus (increased pressure) had to be drained. Damage to the Brain Stem resulting in severed nerves.’ Prognosis’s looked poor; however he made a good recovery and transferred to the Stroke Ward once he was more stable. He required NG feeding and Tracheotomy for a few weeks.’ MRI brain 13/12/2011 confirmed Bilateral Cerebellar Infarct and Ischaemia at Brain Stem.
