Cerebellar abscess

Case contributed by A.Prof Frank Gaillard

Presentation

Increasing ataxia and headaches. Febrile illness 1 week prior.

Patient Data

Age: 3 years
Gender: Male
MRI

MRI brain

Selected images from an MRI of the brain demonstrates a large peripherally enhancing mass in the right cerebellar hemisphere. It demonstrates prominent central restricted diffusion. It is surrounded by oedema and results in mass effect and compression of the 4th ventricle. A moderate degree of hydrocephalus is present (note the transependymal oedema). 

Case Discussion

This patient went on to have a craniotomy and aspiration of the content of the lesion.

Gram stain: ++++ Gram positive cocci in chains and pairs, confirmed to be Strep pneumoniae. 

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Case information

rID: 16634
Case created: 5th Feb 2012
Last edited: 6th Nov 2015
Inclusion in quiz mode: Included

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