Cerebellar abscess

Case contributed by Yaïr Glick
Diagnosis certain

Presentation

Fever, headache, and vomiting for the past week. History of recurrent otitis media. CT performed to assess for complications of otitis media.

Patient Data

Age: 7 years
Gender: Female
ct

Round intra-axial lesion with a diameter of 2.4 cm in the right cerebellar hemisphere, containing mixed contents and displaying ring enhancement after contrast injection. Perilesional oedema with mass effect manifesting as narrowing of the fourth ventricle on the right. The midline is preserved.

MRI 2 weeks post-op

mri

Status post right occipital craniotomy and mastoidectomy. Signs of haemorrhage in the surgical tracks.

Case Discussion

The cerebellar abscess shrank substantially in size on a subsequent MRI scan done a month later (not shown).

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