Cerebellar atrophy

Case contributed by Fakhry Mahmoud Ebouda
Diagnosis certain

Presentation

A case of hypothyroidism, psychiatric illness, epilepsy, lastly presented by tonic/colonic seizures.

Patient Data

Age: 35 years
Gender: Female
ct

Marked diffuse cerebellar atrophic changes are seen, along with milder changes involving the cerebrum, seen as dilated cerebellar folia, small-sized cerebellum and dilated cerebral subarachnoid spaces.

Case Discussion

CT findings are consistent with diffuse cerebellar atrophy. Many causes are involved in cerebellar atrophy among them is chronic drug use (e.g. Phenytoin). Differential diagnosis of diffuse cerebellar atrophy includes cerebellar hypoplasia and mega cisterna magna.

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