Published in:
01-03-2017 | Clinical Case
Freiburg Neuropathology Case Conference: A Cystic Lesion of the Cerebellum in an Adolescent
Authors:
C. A. Taschner, D. Erny, B. Sajonz, H. Urbach, K. Guggenberger, M. Prinz
Published in:
Clinical Neuroradiology
|
Issue 1/2017
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Excerpt
A 19-year-old female patient reported a 6-month history of severe headache attacks accompanied with nausea that occurred 3–4 times a week. There were no other complaints apart from myopia, which had been treated with prescription of eyeglasses 3 months earlier. An ambulant magnetic resonance imaging (MRI) revealed a small cerebellar lesion on the left with unimpeded circulation of cerebrospinal fluid. On admission, the patient showed no neurological deficits. Extensive cerebrospinal fluid analyses were inconspicuous for a neuroinflammatory or infectious disease. A transcerebellar stereotactic biopsy was performed with the patient under general anesthesia. Postoperatively, the patient transiently showed vertigo, nausea and a mild intention tremor of the left hand. These cerebellar symptoms were completely reversible with dexamethasone treatment and the patient was discharged home 3 days after surgery. …