Acute mumps cerebellitis with abnormal findings in MRI diffusion-weighted images

Matsukuma, Eiji; Kato, Zenichiro; Orii, Koji; Asano, Tomohiko; Orii, Kenji E.; Matsui, Eiko; Kaneko, Hideo; Kondo, Naomi

doi:10.1007/s00431-007-0574-0

Cited by 11 publications

(7 citation statements)

References 6 publications

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“…Areas of cytotoxic edema usually appear as regions of increased signal on DWI and have low ADC values relative to normal brain regions [16]. However, the lesions of the cerebellum with quick clinical improvements in our case, suggest an intramyelinic edema or inflammatory infiltration [10,15]. SPECT performed for our first patient showed a remarkable decline in cerebellar blood flow.…”

Section: Discussionmentioning

confidence: 77%

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Two patients with acute rotavirus encephalitis associated with cerebellar signs and symptoms

et al. 2010

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Rotavirus, one of the major causes of severe gastroenteritis in children, occasionally causes central nervous system complications. Recently several patients with acute encephalitis/encephalopathy due to rotavirus associated with cerebellar signs and symptoms have been reported. The condition is characterized by disturbances of consciousness at onset and cerebellar signs and symptoms such as hypotonia, ataxia, dysmetria, and speech disorders, including mutism, slow speech, and dysarthria at convalescence. We report two patients (3-year-old girl, 2-year-old boy) who developed acute encephalitis due to rotavirus and showed cerebellar signs and symptoms. Both patients had characteristic history of consciousness disturbances subsequent to several days of diarrhea, vomiting and fever, and cerebellar symptoms such as hypotonia, ataxia, dysmetria, and speech disorders during the recovery period. Electroencephalography showed diffuse high-voltage delta wave activity in each patient. Brain magnetic resonance imaging showed cerebellar edema in the acute phase followed by cerebellar atrophy on follow-up images in both patients. In the first patient, diffusion-weighted images (DWI) revealed high signals at the left cerebellar peduncle region and apparent diffusion coefficient (ADC) maps showed decreased ADC values of the lesion in the acute phase. The first patient had dysmetria at 1-year follow-up. However, she had normal motor and cognitive functions and could lead her daily life without impairment. In the second patient, no further symptoms were apparent at 1-year follow-up. Acute encephalitis/encephalopathy due to rotavirus with cerebellar signs and symptoms might be diagnosed on DWI, by demonstrating decreased ADC values in acute phase.

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Section: Discussionmentioning

confidence: 77%

“…DWI abnormalities and SPECT were not described in these articles. Diffuse hyperintensity in the cerebellum on DWI is reported in acute cerebellitis patients with no abnormalities on conventional MRI [6,10]. Donmez et al reported a patient of acute cerebellitis that was diagnosed only on DWI by demonstrating lower ADC values [3].…”

Section: Discussionmentioning

confidence: 97%

Two patients with acute rotavirus encephalitis associated with cerebellar signs and symptoms

et al. 2010

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“…La pleocitosis del LCR ocurre en la mitad de los casos de parotiditis. La meningitis clínica se presenta en el 1-10% de las infecciones y la encefalitis en el 0,1% (5). La cefalea, el vómito y la rigidez nucal duran 7 a 10 días.…”

Section: Discussionunclassified

Parotiditis en el Sistema de Vigilancia Epidemiológica 2008-2013. Cali, Colombia. Una actualización para el Otorrinolaringólogo

Caicedo

Ruiz²,

Escobar³

2015

Acta otorrinolaringol cir cabeza cuello

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Introducción: La parotiditis es una enfermedad viral, prevenible, que se presenta aún en la población Colombiana a pesar de los esquemas de vacunación establecidos, su presentación más frecuente es la inflamación de la glándula parótida, en su mayoría bilateral y asincrónica. Complicaciones infecciosas como sialoadenitis bacteriana y neurológicas como meningitis, encefalitis, parálisis facial, hipoacusia neurosensorial y poliradiculitis ascendente han sido reportadas (1-6). Diseño: Estudio descriptivo transversal. Metodología: Se realizó un estudio mediante el análisis de las bases de datos del SIVIGILA en los periodos 2008 al 2013 del evento de Parotiditis. La información codificada en tablas dinámicas, sin incluir información personal se introdujo en el paquete Estadístico SPSS versión 22 y se realizó el análisis de variablescríticas: edad, genero, ocupación, etnia, geo-referenciación (comuna y barrio),aseguradora y UPGD (Unidades Primarias Generadoras de Datos) (7). Resultados: Se observó que la parotiditis en Cali, Valle del Cauca, afecta principalmente la población entre 1 y 14 años de edad, más frecuente de género masculino, hay asociación con los casos de parotiditis en pacientes de 1 a 4 años provenientes de las comunas 14 y 15 de estratos socio-económicos bajos. Conclusiones: Antes de la vacunación masiva, la parotiditis era una enfermedad infecciosa común en todo el mundo. Actualmente estamos expuestos a esta patología en pocas ocasiones, es de vital importancia que en la consulta Otorrinolaringológica se realice el diagnóstico precoz y el reporte oportuno al sistema de vigilancia de la dirección local de salud.

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“…49 The cerebellar lesions may show restricted diffusion in the diffusionweighted and apparent diffusion coefficient sequences. 24,33,[50][51][52][53][54][55][56][57][58][59][60][61][62][63][64] There were 2 subcategories of bihemispheric acute cerebellitis:…”

Section: Bihemispehric Acute Cerebellitismentioning

confidence: 99%

Acute Cerebellitis in Children: A Variable Clinical Entity

et al. 2018

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Acute cerebellar ataxia is the most common cause of acute ataxia in children and it usually runs a self-limiting and ultimately benign clinical course. A small proportion of children have evidence of inflammatory swelling in the cerebellum. Many of these children suffer more severe and potentially life-threatening forms of cerebellar ataxia and may need more intensive treatments including urgent neurosurgical treatments. This more severe form of acute cerebellar ataxia is often termed acute cerebellitis. Many children with acute cerebellitis have long-term neurological sequela and evidence of structural cerebellar changes on follow-up imaging. Several patterns of cerebellar inflammation have been described. The authors describe the variabilities in the clinical and radiological patterns of disease in the cases that have been described in the literature.

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Acute mumps cerebellitis with abnormal findings in MRI diffusion-weighted images

Cited by 11 publications

References 6 publications

Two patients with acute rotavirus encephalitis associated with cerebellar signs and symptoms

Two patients with acute rotavirus encephalitis associated with cerebellar signs and symptoms

Parotiditis en el Sistema de Vigilancia Epidemiológica 2008-2013. Cali, Colombia. Una actualización para el Otorrinolaringólogo

Acute Cerebellitis in Children: A Variable Clinical Entity

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