Acute cerebellitis

Case contributed by Dr Ammar Haouimi

Presentation

Headaches, fever, and cerebellar ataxia with an abnormal EEG.

Patient Data

Age: 6 years
Gender: Male
MRI

Brain

The MRI sequences demonstrate areas of cortical hyperintensity on FLAIR, and T2WI involving the cerebellar hemispheres, and vermis with restricted diffusion on DWI/ADC (due to cytotoxic edema). The postcontrast sequences show a leptomeningeal enhancement along the surface of the cerebellar hemispheres well-visualized on both postcontrast T1, and FLAIR.

Case Discussion

The clinical presentation and MRI features are most consistent with an acute cerebellitis.

 

Additional contributor: R. Bouguelaa, MD

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Case information

rID: 69572
Published: 15th Jul 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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