Abstract
Cystic necrosis in the cerebellar white matter was found in three premature infants. The necrosis was characteristically localized in the center of the white matter of the superficial cerebellar folia, sparing the overlying cortex. The patients were aged between 28 and 34 gestational weeks, and had a clinical history of severe systemic hypotension. Thus, cystic leukomalacia represents a characteristic brain lesion in premature infants which may be caused by cerebellar hypoperfusion.
Similar content being viewed by others
References
Adams JH, Duchen LW (1992) Greenfield's Neuropathology, 5th edn. Edward Arnold, London, pp 688–689
Amarenco P, Kase CS, Rosenhart A, Pessin MS, Bousser M-G, Caplan LR (1993) Very small (border zone) cerebellar infarcts; distribution, causes, mechanism and clinical features. Brain 116: 161–186
Banker BQ, Larroche JC (1962) Periventricular leukomalacia in infancy: a form of neonatal anoxic encephalopathy. Arch Neurol 7: 386–410
Brody BA, Kinney HC, Kloman AS, et al (1987) Sequence of central nervous system myelination in human infancy. I. An autopsy study of myelination. J Neuropathol Exp Neurol 46: 283–301
Calnert SA, Hoskins EM, Fong KW, Forsyth SC (1987) Aetiological risk factors associated with the development of periventricular leukomalacia. Acta Paediatr Scand 76: 254–259
DeReuck J (1971) The human periventricular arterial blood supply and the anatomy of cerebral infarctions. Eur Neurol 5: 321–334
Friede RL (1989) Developmental neuropathology, 2nd edn. Springer-Verlag, Berlin, pp 69–81
Gilles FH, Levinton A, Dooling EC (1983) The developing human brain. John Wright, Boston, pp 117–183
Graham DI, Adams JH, Doyle D (1978) Ischemic brain damage in fatal non-missile head injuries. J Neurol Sci 39: 213–234
Huang YP, Wolf BS (1975) Variations of basal cerebral veins. Embryologic consideration. In: Salamon G (ed) Advances in cerebral angiography. Springer-Verlag, Heidelberg, pp 82–92
Kier EL (1975) Development of cerebral vessels. In: Kapp JP, Newton TH, Potts G (eds) Radiology of the skull and brain. Mosby, St. Louis, pp 1089–1141
Loeser J, Lemire RJ, Alvord EC Jr (1972) The development of the folia in the human cerebellar vermis. Anat Rec 173: 109–114
Meyer JE (1953) Über die Lokalisation frühkindlicher Hirnschäden in arteriellen Grenzgebieten. Arch Psychiatr Nervenkr 190: 328–341
Miall-Allen VM, Vries LS de, Whitelaw AGL (1987) Mean arterial blood pressure and neonatal cerebral lesions. Arch Dis Child 62: 1068–1069
Nelson MD Jr, Gonzalez-Gomez I, Gilles FH (1991) The search for human telencephalic ventriculofugal arteries. AJNR 12: 215–222
Ng T, Graham DI, Adams JH, Ford I (1989) Changes in the hippocampus and the cerebellum resulting from hypoxic insults: frequency and distribution. Acta Neuropathol 78: 438–443
Norman RM, Urich H, McMenemey WH (1957) Vascular mechanism of birth injury. Brain 80: 49–58
Rakic P, Sidman RL (1970) Histogenesis of cortical layers in human cerebellum, particularly the lamina dissecans. J Comp Neurol 139: 473–500
Rosman NP, Schapiro MB, Wolf PA (1978) Sclerotic atrophy of the cerebellum: a clinicopathological survey. J Neuropathol Exp Neurol 37: 174–191
Takashima S, Becker LE (1983) Developmental changes of glial fibrillary acidic protein in cerebral white matter. Arch Neurol 40: 14–19
Takashima S, Tanaka K (1978) Development of cerebrovascular architecture: its relationship to periventricular leukomalacia. Arch Neurol 35: 11–16
Trounce JQ, Shaw DE, Levene MI, Rutter N (1988) Clinical risk factors and periventricular leukomalacia. Arch Dis Child 63: 17–22
Yamaguchi K, Goto N, Nara T (1988) Development of the cerebellar structures (in Japanese). No To Hattatsu 20: 3–9
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tsuru, A., Mizuguchi, M. & Takashima, S. Cystic leukomalacia in the cerebellar folia of premature infants. Acta Neuropathol 90, 400–402 (1995). https://doi.org/10.1007/BF00315013
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00315013