White cerebellum sign

Case contributed by Tariq Walizai
Diagnosis almost certain

Presentation

History of birth trauma.

Patient Data

Age: 26 Days
Gender: Male
ct

There is diffuse cerebral edema bilaterally with loss of the grey-white matter differentiation and effacement of the cortical sulci. Thalami, brain stem, and cerebellum are relatively hyperdense and present the "white cerebellum sign".

Evidence of crescent-shaped hyperdensities involving bilateral parietal and left temporal regions, likely suggestive of subdural bleed.

Case Discussion

The CT findings are suggestive of hypoxic-ischemic encephalopathy with white cerebellum sign and bilateral subdural hematomas.

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