Background Cerebellar haemorrhage in preterm infants has become a focus of attention, as it is associated with neurodevelopmental sequelae and mortality. With regard to neurodevelopmental sequelae, cerebellar haemorrhage may play a role in the cognitive, learning and behavioural dysfunctions known to affect survivors of preterm birth.

Aim To investigate the incidence, risk factors and outcomes of preterm infants with cerebellar haemorrhage in a large tertiary Neonatal Intensive Care Unit.

Methods All the infants over the period of 4 years from Jan 2009 to Dec 2012 with cerebellar haemorrhage were identified from radiology database. All the cases were diagnosed by cranial ultrasound from mastoid fontanelle view

Results 10 cases of cerebellar haemorrhage were identified. Incidence 13 per 1000 less than 30 weeks gestation live births. The gestation at birth range from 23+2 to 28weeks. Birth weight range from 520grams to 1190grams except one case.

Conclusion In our study cerebellar haemorrhage is predominantly seen in extreme preterm infants. It is very uncommon, but diagnosis will help in predicting the long term outcome. It is associated with high mortality.