Cervical Dystonia (CD) is the most common form of focal dystonia with an incidence of 8.9 per 10,000 people [9]. The majority of cases are idiopathic, and secondary CD is associated with perinatal, vascular, traumatic, infectious and drug-induced processes affecting the central and peripheral nervous system [12]. A few reports have suggested that the cerebellum plays a role in pathogenesis of dystonia, There have been four cases in the literature describing CD that developed following a cerebellar stroke [2, 10, 11, 15]. We hereby present a rare case of CD developing 15 months after a cerebellar hemorrhage secondary to a ruptured AVM of the cerebellar vermis.

A 37-year-old right-handed male presented to us with a sudden onset of headache, vomiting and dizziness. Neurological examination revealed right-sided horizontal nystagmus, ataxic gait, right-sided dysmetria and difficulty with finger nose test. His previous medical history and family history were unremarkable. An emergency non-