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European Radiology

, Volume 14, Issue 8, pp 1478–1483 | Cite as

MRI findings in acute cerebellitis

  • Y. De Bruecker
  • F. Claus
  • P. Demaerel
  • F. Ballaux
  • R. Sciot
  • L. Lagae
  • G. Buyse
  • G. Wilms
Neuro

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.

Keywords

Cerebellitis Acute cerebellar ataxia Magnetic resonance imaging 

References

  1. 1.
    Bakshi R, Bates VE, Kinkel PR, Mechtler LL, Kinkel WR (1998) Magnetic resonance imaging findings in acute cerebellitis. Clin Imaging 22:79–85CrossRefPubMedGoogle Scholar
  2. 2.
    Levy EI, Harris AE, Omalu BI, Hamilton RL, Branstetter BF IV, Pollack IF (2001) Sudden death from fulminant acute cerebellitis. Pediatr Neurosurg 35:24–28PubMedGoogle Scholar
  3. 3.
    Hayakawa H, Katoh T (1995) Severe cerebellar atrophy following acute cerebellitis. Pediatr Neurol 12:159–161CrossRefPubMedGoogle Scholar
  4. 4.
    Hurst DL, Mehta S (1988) Acute cerebellar swelling in varicella encephalitis. Pediatr Neurol 4:122–123CrossRefPubMedGoogle Scholar
  5. 5.
    Hayashi T, Ichiyama T, Kobayashi K (1989) A case of acute cerebellar ataxia with an MRI abnormality. Brain Dev 11:435–436PubMedGoogle Scholar
  6. 6.
    Horowitz MB, Pang D, Hirsch W (1991–1992) Acute cerebellitis: case report and review. Pediatr Neurosurg 17:142–145PubMedGoogle Scholar
  7. 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 33:360–361PubMedGoogle Scholar
  8. 8.
    Nakagawa E, Yamanouchi H, Sakuragawa N, Takashima S (1994) Vermis lesions in acute cerebellar ataxia: a sequential imaging study. Brain Dev 16:488–490CrossRefPubMedGoogle Scholar
  9. 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 11:118–120PubMedGoogle Scholar
  10. 10.
    Asenbauer B, McConachie NS, Allcutt D, Farrell MA, King MD (1997) Acute near-fatal parainfectious cerebellar swelling with favourable outcome. Neuropediatrics 28:122–125PubMedGoogle Scholar
  11. 11.
    Murthy JM, Kishore LT (1997) MR findings in cerebellar ataxia after enteric fever. J Comput Assist Tomogr 21:216–217PubMedGoogle Scholar
  12. 12.
    Aylett SE, O’Neill KS, De Sousa C, Britton J (1998) Cerebellitis presenting as acute hydrocephalus. Childs Nerv Syst 14:139–141CrossRefPubMedGoogle Scholar
  13. 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 2:157–162PubMedGoogle Scholar
  14. 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 40:138–142PubMedGoogle Scholar
  15. 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 23:212–216CrossRefPubMedGoogle Scholar
  16. 16.
    Sawaishi Y, Takahashi I, Hirayama Y, Abe T Mizutani M, Hirai K, Takada G (1999) Acute cerebellitis caused by Coxiella burnetii. Ann Neurol 45:124–127CrossRefPubMedGoogle Scholar
  17. 17.
    Ravi V, Rozen TD (2000) Acute cerebellitis: MRI findings. Neurology 54:213PubMedGoogle Scholar
  18. 18.
    Usano A, Torres J, Jadraque R, Avilla JM, Collado E (2000) Acute unilateral cerebellar ataxia: a case report. Rev Neurol 30:698–699PubMedGoogle Scholar
  19. 19.
    Gosalakkal JA (2001) Epstein-Barr virus cerebellitis presenting as obstructive hydrocephalus. Clin Pediatr (Phila) 40:229–231Google Scholar
  20. 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 17:500–502CrossRefPubMedGoogle Scholar
  21. 21.
    Yeshurun M, Marsot-Dupuch K (2001) Acute cerebellar syndrome following intermediate-dose cytarabine. Br J Haematol 113:846CrossRefPubMedGoogle Scholar
  22. 22.
    Montenegro MA, Santos SL, Li LM, Cendes F (2002) Neuroimaging of acute cerebellitis. J Neuroimaging 12:72–74CrossRefPubMedGoogle Scholar
  23. 23.
    Omeis IA, Khoshyomn S, Braff SP, Maugans TA (2002) Idiopathic lymphocytic cerebellitis. Pediatr Neurosurg 36:52–53CrossRefPubMedGoogle Scholar
  24. 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 36:50–54CrossRefGoogle Scholar
  25. 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 19:122–125PubMedGoogle Scholar
  26. 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 30:877–880CrossRefGoogle Scholar
  27. 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 67:109–112PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • Y. De Bruecker
    • 1
  • F. Claus
    • 1
  • P. Demaerel
    • 1
  • F. Ballaux
    • 2
  • R. Sciot
    • 2
  • L. Lagae
    • 3
  • G. Buyse
    • 3
  • G. Wilms
    • 1
  1. 1.Department of RadiologyUniversity Hospitals GasthuisbergLeuvenBelgium
  2. 2.Department of PathologyUniversity Hospitals GasthuisbergLeuvenBelgium
  3. 3.Department of PaediatricsUniversity Hospitals GasthuisbergLeuvenBelgium

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