Abstract
Background
The “white cerebellum” sign is a rare imaging finding described mainly in children with hypoxic brain injury.
Materials and Methods
Single case report and review of the literature.
Findings
We describe a child with acute bacterial meningitis in whom plain CT and MRI showed the white cerebellum sign. The subtle imagings findings were not recognized and a lumbar puncture was performed. Markedly increased intracranial pressure was documented by lumbar puncture and by placement of an intraparenchymal monitor. Contrary to most prior descriptions the patient made a very good recovery.
Conclusions
The white cerebellum sign is a subtle imaging finding seen in patients with diffuse cerebral edema, such finding may not be as ominous as previously thought.
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Reference
Kim Han B, Towbin RB, De Courten-Myers G, et al. Reversal sign on CT: effect of anoxic/ischemic injury in children. AJR Am J Roentgenol. 1990;154(2):361–8.
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Chalela, J.A., Rothlisberger, J., West, B. et al. The White Cerebellum Sign: An Under Recognized Sign of Increased Intracranial Pressure. Neurocrit Care 18, 398–399 (2013). https://doi.org/10.1007/s12028-013-9836-z
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DOI: https://doi.org/10.1007/s12028-013-9836-z