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01-02-2014 | Case Report

Reversible diffusion restriction of the middle cerebellar peduncles and dentate nucleus in acute respiratory syncytial virus cerebellitis: a case report

Authors: Y. Tang, B. Suddarth, X. Du, J. A. Matsumoto

Published in: Emergency Radiology | Issue 1/2014

Abstract

Acute cerebellitis is a postinfectious or postvaccinal disorder that predominantly affects children. The typical magnetic resonance imaging appearance has been previously described as cerebellar hemispheric cortical edema. Here, we report a rare case of respiratory syncytial virus-related cerebellitis with transient diffusion restriction of cerebellar peduncles and dentate nucleus. Differential diagnoses are also discussed.

Horowitz MB, Pang D, Hirsch W (1991) Acute cerebellitis: case report and review. Pediatr Neurosurg 17:142–145PubMedCrossRef

Sawaishi Y, Takada G (2002) Acute cerebellitis. Cerebellum (London, England) 1:223–228CrossRef

Desai J, Mitchell WG (2012) Acute cerebellar ataxia, acute cerebellitis, and opsoclonus-myoclonus syndrome. J Child Neurol 27:1482–1488PubMedCrossRef

Asenbauer B, McConachie NS, Allcutt D, Farrell MA, King MD (1997) Acute near-fatal parainfectious cerebellar swelling with favourable outcome. Neuropediatrics 28:122–125PubMedCrossRef

Levy EI, Harris AE, Omalu BI, Hamilton RL, Branstetter BF 4th, Pollack IF (2001) Sudden death from fulminant acute cerebellitis. Pediatr Neurosurg 35:24–28PubMedCrossRef

Aylett SE, O’Neill KS, De Sousa C, Britton J (1998) Cerebellitis presenting as acute hydrocephalus. Child’s Nerv Syst: ChNS : Official Journal of the International Society for Pediatric Neurosurgery 14:139–141CrossRef

De Bruecker Y, Claus F, Demaerel P, Ballaux F, Sciot R, Lagae L, Buyse G, Wilms G (2004) MRI findings in acute cerebellitis. Eur Radiol 14:1478–1483PubMedCrossRef

Takanashi J, Miyamoto T, Ando N, Kubota T, Oka M, Kato Z, Hamano S, Hirabayashi S, Kikuchi M, Barkovich AJ (2010) Clinical and radiological features of rotavirus cerebellitis. AJNR Am J Neuroradiol 31:1591–1595PubMedCrossRef

Mori T, Morii M, Kuroiwa Y, Hotsubo T, Fuse S, Tsustumi H (2011) Rotavirus encephalitis and cerebellitis with reversible magnetic resonance signal changes. Pediatr Int: Official Journal of the Japan Pediatric Society 53:252–255CrossRef

10.

Kato Z, Manabe T, Teramoto T, Kondo N (2011) Adenovirus infection mimics the cerebellitis caused by rotavirus infection. Eur J Pediatr 170:405–406PubMedCrossRef

11.

Takanashi J (2009) Two newly proposed infectious encephalitis/encephalopathy syndromes. Brain Dev 31:521–528PubMedCrossRef

12.

Barkovich AJ, Raybaud C (2012) Pediatric neuroimaging. Lippincott Williams & Wilkins, Philadelphia

13.

Mialin R, Koob M, de Seze J, Dietemann JL, Kremer S (2011) Case 173: acute disseminated encephalomyelitis confined to the brainstem. Radiology 260:911–914PubMedCrossRef

14.

Balasubramanya KS, Kovoor JM, Jayakumar PN, Ravishankar S, Kamble RB, Panicker J, Nagaraja D (2007) Diffusion-weighted imaging and proton MR spectroscopy in the characterization of acute disseminated encephalomyelitis. Neuroradiology 49:177–183PubMedCrossRef

15.

Milandre L, Rumeau C, Sangla I, Peretti P, Khalil R (1992) Infarction in the territory of the anterior inferior cerebellar artery: report of five cases. Neuroradiology 34:500–503PubMedCrossRef

16.

Akiyama K, Takizawa S, Tokuoka K, Ohnuki Y, Kobayashi N, Shinohara Y (2001) Bilateral middle cerebellar peduncle infarction caused by traumatic vertebral artery dissection. Neurology 56:693–694PubMedCrossRef

17.

Iyer RS, Chaturvedi A, Pruthi S, Khanna PC, Ishak GE (2011) Medication neurotoxicity in children. Pediatr Radiol 41:1455–1464PubMedCrossRef

18.

Morales Odia Y, Jinka M, Ziai WC (2010) Severe leukoencephalopathy following acute oxycodone intoxication. Neurocrit Care 13:93–97PubMedCrossRef

19.

Okamoto K, Tokiguchi S, Furusawa T, Ishikawa K, Quardery AF, Shinbo S, Sasai K (2003) MR features of diseases involving bilateral middle cerebellar peduncles. AJNR Am J Neuroradiol 24:1946–1954PubMed

20.

van der Knaap MS, Barth PG, Gabreels FJ, Franzoni E, Begeer JH, Stroink H, Rotteveel JJ, Valk J (1997) A new leukoencephalopathy with vanishing white matter. Neurology 48:845–855PubMedCrossRef

21.

Jan W, Zimmerman RA, Wang ZJ, Berry GT, Kaplan PB, Kaye EM (2003) MR diffusion imaging and MR spectroscopy of maple syrup urine disease during acute metabolic decompensation. Neuroradiology 45:393–399PubMedCrossRef

Title: Reversible diffusion restriction of the middle cerebellar peduncles and dentate nucleus in acute respiratory syncytial virus cerebellitis: a case report
Authors: Y. Tang
B. Suddarth
X. Du
J. A. Matsumoto
Publication date: 01-02-2014
Publisher: Springer Berlin Heidelberg
Published in: Emergency Radiology / Issue 1/2014
Print ISSN: 1070-3004
Electronic ISSN: 1438-1435
DOI: https://doi.org/10.1007/s10140-013-1157-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Reversible diffusion restriction of the middle cerebellar peduncles and dentate nucleus in acute respiratory syncytial virus cerebellitis: a case report

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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