The white cerebellum sign with good prognosis: A case report

Dahamou, Mohamed; Elfarissi, Mohammed Alamine; Dehneh, Younes; Aldabbas, Mohannad; Khoulali, Mohamed; Oulali, Noureddine; Moufid, Fayçal

doi:10.1016/j.radcr.2022.09.007

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…One-third of the patients die, while the remaining patients suffer from severe irreversible brain damage. 2 The case presented here is a rare occurrence, in which the patient showed improvement, demonstrating a remarkable short-term favorable outcome and good developmental progress without notable sequelae three months after discharge. The current literature distinguishes between the “white cerebellum sign”” and the “reversal sign”.…”

Section: Discussionmentioning

confidence: 70%

“… 1 The “white cerebellum sign” is an unusual yet worrying characteristic finding in neuroradiology and is mainly documented in paediatric patients with hypoxic brain damage with poor outcomes. 2 Children from birth to two years of age are the most affected, with a meager prognosis. 3 It has been associated with several cases of cerebral infections such as meningitis, encephalitis, severe head trauma, perinatal asphyxia, drowning, hypothermia, status epilepticus, post-anoxic encephalopathy, and other cases of general brain hypoperfusion.…”

Section: Introductionmentioning

confidence: 99%

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The “White Cerebellum Sign”, a Striking Computed Tomography Scan Finding in a Critically Ill Infant: A Case Report

Shamavu,

Mahmud,

Maren

et al. 2023

IMCRJ

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The “white cerebellum sign” is a striking neuroradiological finding, resulting from diffuse hypodense brain lesions in both cerebral hemispheres while sparing the cerebellum. This indicates widespread ischemic damage or expanded cerebral edema associated with the loss of white-gray matter differentiation. It is commonly reported in pediatric cases with severe neurological conditions, usually resulting in a poor prognosis. We present a case of a three-month-old female infant who was managed for confirmed acute bacterial meningitis complicated by status epilepticus, where the Computed tomography scan (CT scan) showed the “white cerebellum sign” in relation to diffuse cerebral hypoxic-ischemic lesions. However, the patient had a favorable outcome following treatment. This case underscores the importance of early recognition in cases presenting with the “white cerebellum sign”. It highlights the potential for a positive prognosis even in severe neurological conditions when appropriate interventions are promptly administered.

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Section: Discussionmentioning

confidence: 70%

Section: Introductionmentioning

confidence: 99%

The “White Cerebellum Sign”, a Striking Computed Tomography Scan Finding in a Critically Ill Infant: A Case Report

Shamavu,

Mahmud,

Maren

et al. 2023

IMCRJ

View full text Add to dashboard Cite

show abstract

“…While many meningiomas do not cause symptoms, some can lead to issues based on their size and location, including headaches and problems with balance. Risk factors for meningiomas include age, sex, ethnicity, family history, genetic variations, and certain medical conditions like Turner's syndrome and neurofibromatosis 2 [ 4 ]. The type of surgical removal required for treatment depends on the grade of the meningioma, with Simpson Grades I-III considered as gross total resection and Grades IV-V as subtotal resection [ 5 ].…”

Section: Introductionmentioning

confidence: 99%