Pediatric Radiology

, Volume 35, Issue 8, pp 812–814 | Cite as

Pontomedullary disconnection: fetal and neonatal considerations

  • Emma McCannEmail author
  • David Pilling
  • Markus Hesseling
  • Devender Roberts
  • Nim Subhedar
  • Elizabeth Sweeney
Case Report


The cerebellar and pontocerebellar hypoplasias present a unique challenge when detected in the developing fetus. A diverse aetiology and prognosis make counselling of these families difficult. Advances in fetal imaging allow for more accurate diagnosis and counselling, but postnatal MRI is still required. A case is presented in which cerebellar hypoplasia was detected at 20 weeks gestation. Later fetal imaging provided further information, but a diagnosis of pontomedullary disconnection was not made until the postnatal MRI scan. The clinical findings and possible causes of such pontocerebellar abnormalities are discussed.


Cerebellum Hypoplasia Pontocerebellar hypoplasia Fetus MRI 


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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Emma McCann
    • 1
    Email author
  • David Pilling
    • 2
  • Markus Hesseling
    • 3
  • Devender Roberts
    • 4
  • Nim Subhedar
    • 3
  • Elizabeth Sweeney
    • 1
  1. 1.Department of Clinical GeneticsRoyal Liverpool Children’s HospitalLiverpoolUK
  2. 2.Department of Paediatric RadiologyRoyal Liverpool Children’s HospitalLiverpoolUK
  3. 3.Department of NeonatologyLiverpool Women’s HospitalLiverpoolUK
  4. 4.Department of Fetal MedicineLiverpool Women’s HospitalLiverpoolUK

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