Amador Nelly, Scheithauer Bernd W, Giannini Caterina, Raffel Corey
Departments of Neurological Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA.
J Neurosurg. 2007 Jul;107(1 Suppl):57-61. doi: 10.3171/PED-07/07/057.
A pseudotumoral presentation of acute cerebellitis is rare. The authors report two cases of children with hemicerebellar involvement, neither case being postinfectious nor vaccination related. One patient underwent biopsy sampling revealing marked parenchymal and leptomeningeal inflammation, and in the other, near-complete resolution of neuroimaging abnormalities was demonstrated. The literature is reviewed and therapy considerations are emphasized.
急性小脑炎的假瘤样表现较为罕见。作者报告了两例累及半侧小脑的儿童病例,两例均与感染后或疫苗接种无关。其中一例患者接受活检取样,显示实质和软脑膜有明显炎症,另一例患者神经影像学异常几乎完全消退。本文对相关文献进行了综述,并强调了治疗方面的考虑因素。