Poretti Andrea, Boltshauser Eugen, Huisman Thierry A G M
Section of Pediatric Neuroradiology, Division of Pediatric Radiology, Russell H. Morgan Department of Radiology and Radiological Science, Charlotte R. Bloomberg Children's Center, The Johns Hopkins University School of Medicine, Sheikh Zayed Tower, Room 4174, 1800 Orleans Street, Baltimore, MD 21287-0842, USA; Department of Pediatric Neurology, University Children's Hospital, Steinwiesstrasse 75, Zurich 8032, Switzerland.
Department of Pediatric Neurology, University Children's Hospital, Steinwiesstrasse 75, Zurich 8032, Switzerland.
Neuroimaging Clin N Am. 2016 Aug;26(3):359-72. doi: 10.1016/j.nic.2016.03.006.
There is increasing evidence that the cerebellum is susceptible to prenatal infections and hemorrhages and that congenital morphologic anomalies of the cerebellum may be caused by disruptive (acquired) causes. Starting from the neuroimaging pattern, this report describes a spectrum of prenatal cerebellar disruptions including cerebellar agenesis, unilateral cerebellar hypoplasia, cerebellar cleft, global cerebellar hypoplasia, and vanishing cerebellum in Chiari type II malformation. The neuroimaging findings, possible causative disruptive events, and clinical features of each disruption are discussed. Recognition of cerebellar disruptions and their differentiation from cerebellar malformations is important in terms of diagnosis, prognosis, and genetic counselling.
越来越多的证据表明,小脑易受产前感染和出血影响,且小脑先天性形态异常可能由破坏性(后天性)原因引起。基于神经影像学模式,本报告描述了一系列产前小脑破坏情况,包括小脑发育不全、单侧小脑发育不全、小脑裂、全小脑发育不全以及Chiari II型畸形中的小脑消失。文中讨论了每种破坏的神经影像学表现、可能的致病性破坏事件以及临床特征。认识小脑破坏及其与小脑畸形的鉴别对于诊断、预后和遗传咨询具有重要意义。