Cohen José E, Gomori Moshe, Benifla Moni, Itshayek Eyal, Shoshan Yigal
Department of Neurosurgery, Hadassah-Hebrew University Medical Center, P.O. Box 12000, Jerusalem 91120, Israel; Department of Endovascular Neurosurgery and Interventional Neuroradiology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Department of Neurosurgery, Hadassah-Hebrew University Medical Center, P.O. Box 12000, Jerusalem 91120, Israel; Department of Endovascular Neurosurgery and Interventional Neuroradiology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel; Department of Radiology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
J Clin Neurosci. 2014 Feb;21(2):337-9. doi: 10.1016/j.jocn.2013.04.006. Epub 2013 Aug 16.
Acute pseudotumoral hemicerebellitis is an exceptionally rare unilateral presentation of acute cerebellitis mimicking a tumor. It typically has a benign course without specific therapy; thus, recognizing this entity is important to avoid needless surgical intervention. MRI provides the key for diagnosis and usually reveals a diffusely swollen cerebellar hemisphere with no well-defined mass. Some patients will require neurosurgical assistance by means of ventriculostomy or posterior fossa decompression. We present a 17-year-old girl with pseudotumoral hemicerebellitis, review the available literature, and discuss the diagnosis and therapeutic dilemma from the neurosurgical perspective.
急性假瘤性半侧小脑炎是一种极为罕见的急性小脑炎单侧表现，类似肿瘤。它通常呈良性病程，无需特殊治疗；因此，认识到这一实体对于避免不必要的手术干预很重要。磁共振成像（MRI）是诊断的关键，通常显示小脑半球弥漫性肿胀，无明确肿块。一些患者需要通过脑室造瘘术或后颅窝减压术获得神经外科协助。我们报告一名患有假瘤性半侧小脑炎的17岁女孩，回顾现有文献，并从神经外科角度讨论诊断和治疗困境。
