Hemicerebellitis: Report of three paediatric cases and review of the literature

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• 作者：Fernando Carceller Lech&oacute ; n^a ; ^{fernando.carceller@yahoo.es" class="auth_mail} ; ^{fernando.carceller@salud.madrid.org" class="auth_mail} ; Anna Duat Rodrí ; guez^b ; Sara I. Sirvent Cerdá ; ^c ; Komel Khabra^d ; Inmaculada de Prada^e ; Juan Jose Garcí ; a-Peñ ; as^b ; Luis Madero L&oacute ; pez^a
• 关键词：Hemicerebellitis ; Cerebellitis ; Posterior fossa tumour ; Cerebellar ataxia
• 刊名：European Journal of Paediatric Neurology
• 出版年：May 2014
• 年：2014
• 卷：18
• 期：3
• 页码：273-281
• 全文大小：852 K

文摘

Acute inflammation of a single cerebellar hemisphere (hemicerebellitis) is a rare disorder of unknown origin. The clinical presentation is mainly characterized by headache, ataxia, dysmetria, and vomiting. In addition, some children may develop severe intracranial hypertension. The neuroimaging of hemicerebellitis raises a challenging differential diagnosis, particularly with posterior fossa tumours. Although there is no standard treatment for hemicerebellitis, its outcome is usually favourable. However, ipsilateral hemicerebellar atrophy develops in up to half of cases, and a minority of children may show persisting fine motor and/or neurocognitive sequelae. In this article, we contribute with three new reports and review a total of 35 cases of hemicerebellitis.