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Herniation to foramen magnum in the course of cerebellitis in a 4-year-old boy, as shown by CT and MRI – case report

BACKGROUND: Acute cerebellitis is an uncommon but dangerous complication of infectious diseases. Besides neurological examination, neuroimaging (especially MR imaging) is very useful for diagnosing cerebellitis. CASE REPORT: A 4-year-old boy was admitted to the hospital with a 1-week history of feve...

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Autores principales: Wagel, Justyna, Gruszka, Jarosław, Szewczyk, Paweł, Guziński, Maciej, Sąsiadek, Marek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3389887/
https://www.ncbi.nlm.nih.gov/pubmed/22802790
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author Wagel, Justyna
Gruszka, Jarosław
Szewczyk, Paweł
Guziński, Maciej
Sąsiadek, Marek
author_facet Wagel, Justyna
Gruszka, Jarosław
Szewczyk, Paweł
Guziński, Maciej
Sąsiadek, Marek
author_sort Wagel, Justyna
collection PubMed
description BACKGROUND: Acute cerebellitis is an uncommon but dangerous complication of infectious diseases. Besides neurological examination, neuroimaging (especially MR imaging) is very useful for diagnosing cerebellitis. CASE REPORT: A 4-year-old boy was admitted to the hospital with a 1-week history of fever, vomiting and headache. His past medical history was unremarkable. The physical examination revealed disturbance of consciousness and truncal ataxia. He underwent urgent CT and MRI examinations which demonstrated isolated swelling of the cerebellar hemispheres and the vermis, with increased signal intensity in T2-weighted, FLAIR, and DWI sequence and a significant mass effect associated with tonsillar herniation. An emergent life-saving suboccipital craniectomy was performed with removal of the C1 vertebral arch. There was a gradual clinical improvement, and a follow-up brain MRI revealed disappearance of cerebellar swelling and of mass effect. CONCLUSIONS: Magnetic resonance (MR), including diffusion-weighted imaging (DWI) sequence, plays an important role in the diagnostic work-up of cerebellitis in children. This imaging method is very useful for detecting cerebellitis, evaluating its severity and monitoring the disease.
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spelling pubmed-33898872012-07-16 Herniation to foramen magnum in the course of cerebellitis in a 4-year-old boy, as shown by CT and MRI – case report Wagel, Justyna Gruszka, Jarosław Szewczyk, Paweł Guziński, Maciej Sąsiadek, Marek Pol J Radiol Case Report BACKGROUND: Acute cerebellitis is an uncommon but dangerous complication of infectious diseases. Besides neurological examination, neuroimaging (especially MR imaging) is very useful for diagnosing cerebellitis. CASE REPORT: A 4-year-old boy was admitted to the hospital with a 1-week history of fever, vomiting and headache. His past medical history was unremarkable. The physical examination revealed disturbance of consciousness and truncal ataxia. He underwent urgent CT and MRI examinations which demonstrated isolated swelling of the cerebellar hemispheres and the vermis, with increased signal intensity in T2-weighted, FLAIR, and DWI sequence and a significant mass effect associated with tonsillar herniation. An emergent life-saving suboccipital craniectomy was performed with removal of the C1 vertebral arch. There was a gradual clinical improvement, and a follow-up brain MRI revealed disappearance of cerebellar swelling and of mass effect. CONCLUSIONS: Magnetic resonance (MR), including diffusion-weighted imaging (DWI) sequence, plays an important role in the diagnostic work-up of cerebellitis in children. This imaging method is very useful for detecting cerebellitis, evaluating its severity and monitoring the disease. International Scientific Literature, Inc. 2010 /pmc/articles/PMC3389887/ /pubmed/22802790 Text en © Pol J Radiol, 2010 This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited.
spellingShingle Case Report
Wagel, Justyna
Gruszka, Jarosław
Szewczyk, Paweł
Guziński, Maciej
Sąsiadek, Marek
Herniation to foramen magnum in the course of cerebellitis in a 4-year-old boy, as shown by CT and MRI – case report
title Herniation to foramen magnum in the course of cerebellitis in a 4-year-old boy, as shown by CT and MRI – case report
title_full Herniation to foramen magnum in the course of cerebellitis in a 4-year-old boy, as shown by CT and MRI – case report
title_fullStr Herniation to foramen magnum in the course of cerebellitis in a 4-year-old boy, as shown by CT and MRI – case report
title_full_unstemmed Herniation to foramen magnum in the course of cerebellitis in a 4-year-old boy, as shown by CT and MRI – case report
title_short Herniation to foramen magnum in the course of cerebellitis in a 4-year-old boy, as shown by CT and MRI – case report
title_sort herniation to foramen magnum in the course of cerebellitis in a 4-year-old boy, as shown by ct and mri – case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3389887/
https://www.ncbi.nlm.nih.gov/pubmed/22802790
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