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.
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References
Bakshi R, Bates VE, Kinkel PR, Mechtler LL, Kinkel WR (1998) Magnetic resonance imaging findings in acute cerebellitis. Clin Imaging 22:79–85
Levy EI, Harris AE, Omalu BI, Hamilton RL, Branstetter BF IV, Pollack IF (2001) Sudden death from fulminant acute cerebellitis. Pediatr Neurosurg 35:24–28
Hayakawa H, Katoh T (1995) Severe cerebellar atrophy following acute cerebellitis. Pediatr Neurol 12:159–161
Hurst DL, Mehta S (1988) Acute cerebellar swelling in varicella encephalitis. Pediatr Neurol 4:122–123
Hayashi T, Ichiyama T, Kobayashi K (1989) A case of acute cerebellar ataxia with an MRI abnormality. Brain Dev 11:435–436
Horowitz MB, Pang D, Hirsch W (1991–1992) Acute cerebellitis: case report and review. Pediatr Neurosurg 17:142–145
Shoji H, Hirai S, Ishikawa K, Aramaki M, Sato Y, Abe T, Kojima K (1991) CT and MR imaging of acute cerebellar ataxia. Neuroradiology 33:360–361
Nakagawa E, Yamanouchi H, Sakuragawa N, Takashima S (1994) Vermis lesions in acute cerebellar ataxia: a sequential imaging study. Brain Dev 16:488–490
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 11:118–120
Asenbauer B, McConachie NS, Allcutt D, Farrell MA, King MD (1997) Acute near-fatal parainfectious cerebellar swelling with favourable outcome. Neuropediatrics 28:122–125
Murthy JM, Kishore LT (1997) MR findings in cerebellar ataxia after enteric fever. J Comput Assist Tomogr 21:216–217
Aylett SE, O’Neill KS, De Sousa C, Britton J (1998) Cerebellitis presenting as acute hydrocephalus. Childs Nerv Syst 14:139–141
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 2:157–162
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 40:138–142
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 23:212–216
Sawaishi Y, Takahashi I, Hirayama Y, Abe T Mizutani M, Hirai K, Takada G (1999) Acute cerebellitis caused by Coxiella burnetii. Ann Neurol 45:124–127
Ravi V, Rozen TD (2000) Acute cerebellitis: MRI findings. Neurology 54:213
Usano A, Torres J, Jadraque R, Avilla JM, Collado E (2000) Acute unilateral cerebellar ataxia: a case report. Rev Neurol 30:698–699
Gosalakkal JA (2001) Epstein-Barr virus cerebellitis presenting as obstructive hydrocephalus. Clin Pediatr (Phila) 40:229–231
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 17:500–502
Yeshurun M, Marsot-Dupuch K (2001) Acute cerebellar syndrome following intermediate-dose cytarabine. Br J Haematol 113:846
Montenegro MA, Santos SL, Li LM, Cendes F (2002) Neuroimaging of acute cerebellitis. J Neuroimaging 12:72–74
Omeis IA, Khoshyomn S, Braff SP, Maugans TA (2002) Idiopathic lymphocytic cerebellitis. Pediatr Neurosurg 36:52–53
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 36:50–54
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 19:122–125
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 30:877–880
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 67:109–112
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De Bruecker, Y., Claus, F., Demaerel, P. et al. MRI findings in acute cerebellitis. Eur Radiol 14, 1478–1483 (2004). https://doi.org/10.1007/s00330-004-2247-y
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DOI: https://doi.org/10.1007/s00330-004-2247-y