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Abstract Primary spontaneous cerebellar hemorrhage constitutes 5-10% of all intracerebral bleeds.Hydrocephalus associated with posterior fossa hemorrhage isproblem awaiting a solution. Initial treatment of these patients with ventricular drainage carries the hazards of long term shunt related complications. So we aimed in this study to predict the number of patients suffering spontaneous cerebellar hematoma with hydrocephalus who indeed need permanent cerebro-spinal fluid (CSF) diversion. Our study was conducted prospectively upon 20 patients admitted in the Cairo University Hospitals suffering spontaneous intracerebellar hemorrhage with hydrocephalus.All patients underwent surgical evacuation of cerebellar hematoma with placement of external ventricular drain (EVD) fixed immediately before surgeryfor postoperative ICPmonitoring. We have concluded that many patients sufferingspontaneous cerebellar hemorrhagewith hydrocephaluscan spare unnecessary permanent CSF diversion after surgical evacuation of cerebellar hemorrhage |