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European Radiology
Published in: European Radiology 8/2004

01-08-2004 | Neuro

MRI findings in acute cerebellitis

Authors: Y. De Bruecker, F. Claus, P. Demaerel, F. Ballaux, R. Sciot, L. Lagae, G. Buyse, G. Wilms

Published in: European Radiology | Issue 8/2004

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Abstract

Acute cerebellitis is an inflammatory process involving the cerebellum. We report the clinical, CT and MRI features of four cases and a review of the literature. Bilateral diffuse hemispheric abnormalities represent the most common imaging presentations. Our observations demonstrate the various imaging appearances of acute cerebellitis. Simultaneous involvement of both hemispheres and the vermis has not been reported previously. The development of cerebellar atrophy following an initial normal MR imaging examination is also a new finding. In atypical clinical presentation, MR imaging can lead to the diagnosis. MR imaging findings have, however, no prognostic value.
Literature
1.
Bakshi R, Bates VE, Kinkel PR, Mechtler LL, Kinkel WR (1998) Magnetic resonance imaging findings in acute cerebellitis. Clin Imaging 22:79–85CrossRefPubMed
2.
Levy EI, Harris AE, Omalu BI, Hamilton RL, Branstetter BF IV, Pollack IF (2001) Sudden death from fulminant acute cerebellitis. Pediatr Neurosurg 35:24–28PubMed
3.
Hayakawa H, Katoh T (1995) Severe cerebellar atrophy following acute cerebellitis. Pediatr Neurol 12:159–161CrossRefPubMed
4.
Hurst DL, Mehta S (1988) Acute cerebellar swelling in varicella encephalitis. Pediatr Neurol 4:122–123CrossRefPubMed
5.
Hayashi T, Ichiyama T, Kobayashi K (1989) A case of acute cerebellar ataxia with an MRI abnormality. Brain Dev 11:435–436PubMed
6.
Horowitz MB, Pang D, Hirsch W (1991–1992) Acute cerebellitis: case report and review. Pediatr Neurosurg 17:142–145PubMed
7.
Shoji H, Hirai S, Ishikawa K, Aramaki M, Sato Y, Abe T, Kojima K (1991) CT and MR imaging of acute cerebellar ataxia. Neuroradiology 33:360–361PubMed
8.
Nakagawa E, Yamanouchi H, Sakuragawa N, Takashima S (1994) Vermis lesions in acute cerebellar ataxia: a sequential imaging study. Brain Dev 16:488–490CrossRefPubMed
9.
Iester A, Alpigiani MG, Franzone G, Cohen A, Puleo MG, Tortori-Donati P (1995) Magnetic resonance imaging in right hemisphere cerebellitis associated with homolateral hemiparesis. Childs Nerv Syst 11:118–120PubMed
10.
Asenbauer B, McConachie NS, Allcutt D, Farrell MA, King MD (1997) Acute near-fatal parainfectious cerebellar swelling with favourable outcome. Neuropediatrics 28:122–125PubMed
11.
Murthy JM, Kishore LT (1997) MR findings in cerebellar ataxia after enteric fever. J Comput Assist Tomogr 21:216–217PubMed
12.
Aylett SE, O’Neill KS, De Sousa C, Britton J (1998) Cerebellitis presenting as acute hydrocephalus. Childs Nerv Syst 14:139–141CrossRefPubMed
13.
Gohlich-Ratmann G, Wallot M, Baethmann M, Schaper J, Roggendorf M, Roll C, Aksu F, Voit T (1998) Acute cerebellitis with near-fatal cerebellar swelling and benign outcome under conservative treatment with high dose steroids. Eur J Paediatr Neurol 2:157–162PubMed
14.
Kato Z, Shimozawa N, Kokuzawa J, Iwamura M, Hirata T, Yamagishi A, Hayashi T, Motoyoshi T, Kondo N (1998) Magnetic resonance imaging of acute cerebellar ataxia: report of a case with gadolinium enhancement and review of the literature. Acta Paediatr Jpn 40:138–142PubMed
15.
San-Pedro EC, Mountz JM, Liu HG, Deutsch G (1998) Postinfectious cerebellitis: clinical significance of Tc-99m HMPAO brain SPECT compared with MRI. Clin Nucl Med 23:212–216CrossRefPubMed
16.
Sawaishi Y, Takahashi I, Hirayama Y, Abe T Mizutani M, Hirai K, Takada G (1999) Acute cerebellitis caused by Coxiella burnetii. Ann Neurol 45:124–127CrossRefPubMed
17.
Ravi V, Rozen TD (2000) Acute cerebellitis: MRI findings. Neurology 54:213PubMed
18.
Usano A, Torres J, Jadraque R, Avilla JM, Collado E (2000) Acute unilateral cerebellar ataxia: a case report. Rev Neurol 30:698–699PubMed
19.
Gosalakkal JA (2001) Epstein-Barr virus cerebellitis presenting as obstructive hydrocephalus. Clin Pediatr (Phila) 40:229–231
20.
Hamada H, Kurimoto M, Masuoka T, Hirashima Y, Endo S, Harada J (2001) A case of surgically treated acute cerebellitis with hydrocephalus. Childs Nerv Syst 17:500–502CrossRefPubMed
21.
Yeshurun M, Marsot-Dupuch K (2001) Acute cerebellar syndrome following intermediate-dose cytarabine. Br J Haematol 113:846CrossRefPubMed
22.
Montenegro MA, Santos SL, Li LM, Cendes F (2002) Neuroimaging of acute cerebellitis. J Neuroimaging 12:72–74CrossRefPubMed
23.
Omeis IA, Khoshyomn S, Braff SP, Maugans TA (2002) Idiopathic lymphocytic cerebellitis. Pediatr Neurosurg 36:52–53CrossRefPubMed
24.
Ciardi M, Giacchetti G, Fedele CG, Tenorio A, Brandi A, Libertone R, Ajassa C, Borgese L, Delia S (2003) Acute cerebellitis caused by herpes simplex virus type 1. Clin Infect Dis 36:50–54CrossRef
25.
Jabbour P, Samaha E, Abi-Lahoud G, Koussa S, Abadjian G, Nohra G, Rizk T, Moussa R, Okais N (2003) Hemicerebellitis mimicking a tumour on MRI. Childs Nerv Syst 19:122–125PubMed
26.
Gruis K, Moretti P, Gebarski S, Mikol D (2003) Cerebellitis in an adult with abnormal magnetic resonance imaging findings prior to the onset of ataxia. Arch Neurol 30:877–880CrossRef
27.
Nagamitsu S, Matsuishi T, Ishibashi M, Yamashita Y, Nishimi T, Ichikawa K, Yamanishi K, Kato H (1999) Decreased cerebellar blood flow in postinfectious acute cerebellar ataxia. J Neurol Neurosurg Psychiat 67:109–112PubMed
Metadata
Title
MRI findings in acute cerebellitis
Authors
Y. De Bruecker
F. Claus
P. Demaerel
F. Ballaux
R. Sciot
L. Lagae
G. Buyse
G. Wilms
Publication date
01-08-2004
Publisher
Springer-Verlag
Published in
European Radiology / Issue 8/2004
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-004-2247-y

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