The evaluation of a cerebellar hemorrhage begins with a history and physical exam.

Physical findings in a person with a cerebellar hemorrhage may include:

• Abnormal eye movements:
• Nystagmus
• Eyes not moving in unison
• Abnormal pupils:
• Pupils do not respond to light appropriately
• Facial weakness
• Neck pain with flexion
• Confusion
• Difficulty with balance
• Coordination problems
• Difficulty walking
• Excessive sleepiness
• Lethargy:
• A condition of excessive sleepiness or drowsiness.
• Papilledema:
• Swelling around the optic nerve in the back of the eye

Tests that may be used to evaluate cerebellar hemorrhage include:

• CT scanning of the brain
• MRI scan of the brain
• Lumbar puncture
• Xanthochromia indicates the presence of bleeding into the CSF
• Cerebral angiogram
• CT angiography of the brain
• MRI angiography