Singh SD, Pasi M, Schreuder FHBM, et al. - Given the correlation of the computed tomography angiography spot sign with hematoma expansion, case fatality, and poor functional outcome in spontaneous supratentorial intracerebral hemorrhage (ICH), researchers sought to report on the spot sign in spontaneous cerebellar ICH. Of 358 patients presenting with cerebellar ICH, 181 (51%) underwent a computed tomography angiography; 121 of these 181 patients (67%) were treated conservatively of which 15 (12%) had a spot sign. The spot sign in patients with spontaneous cerebellar ICH treated conservatively, was noted to be linked with speed of hematoma expansion, case fatality, and poor functional outcome. The spot sign is linked with 90-day case fatality in surgically treated patients.