TRAUMATIC cerebellar hematoma, unaccompanied by subdural or eqidural hematoma of the posterior fossa, is a rare entity. 1 Wright 2 reports six intracerebellar hematomas among 17 posterior fossa hematomas over a ten-yearn period. Even this number appears to be unusually high when compared to other series. For this reason, we are reporting a case of traumatic cerebellar hematoma and discussing the relevant diagnostic and therapeutic points. Report of a Case On Dec 12, 1973, a 64-year-old man struck his head on an overhanging pipe and fell to the ground. He was not unconscious. Subsequently, progressive confusion, disorientation, and difficulty with gait and speech occurred. Three days prior to admission, he noted severe frontal headache. His family observed changes in personality, lethargy, and irritability. Examination on Dec 18,1973, showed the patient to be a somewhat lethargic elderly man, complaining of severe headache. Pulse was 60 beats per