Do cerebellar strokes typically present with ipsilateral symptoms?

Cerebellar strokes typically present with ipsilateral symptoms due to the unique pathways of brain organization. The cerebellum is responsible for coordination and fine-tuning of movements, and each hemisphere primarily influences the same side of the body. When a stroke occurs in one hemisphere of the cerebellum, it disrupts signals that coordinate movement and balance on the same side, leading to symptoms such as ataxia, dysmetria, or intention tremors on the ipsilateral side.

This lateralization of symptoms contrasts with other parts of the central nervous system where strokes might present contralaterally due to the crossing of pathways. Each hemisphere of the cerebellum regulates motor control of the opposite side of the body only in relation to the cortex; however, because the cerebellum's outputs directly affect the same side due to its specific connections, this direct control results in ipsilateral symptoms.

Thus, cerebellar strokes are characterized by this ipsilateral symptomatology, affirming the correctness of the answer provided.