Asenbauer B, McConachie N S, Allcutt D, Farrell M A, King M D
Department of Paediatric Neurology, Children's Hospital, Dublin, Ireland.
Neuropediatrics. 1997 Apr;28(2):122-5. doi: 10.1055/s-2007-973685.
The clinical course, neuro-imaging features and neuropathologic findings in a child with para-infectious acute cerebellar swelling are described. Reversible transtentorial and transforaminal herniations occurred and required emergency posterior fossa decompression with external ventricular drainage. Neuropathologic examination of a cerebellar biopsy demonstrated a subacute pathogen-free cerebellitis. Following neurosurgical intervention and steroid therapy, symptoms and signs resolved and the patient is well 3 years later. Acute para-infectious cerebellar swelling is potentially fatal unless recognised and treated early in its evolution.
描述了一名患有感染后急性小脑肿胀儿童的临床病程、神经影像学特征和神经病理学发现。发生了可逆性经天幕和经枕骨大孔疝，需要紧急进行后颅窝减压并进行脑室外引流。小脑活检的神经病理学检查显示为亚急性无菌性小脑炎。经过神经外科干预和类固醇治疗后，症状和体征消失，患者在3年后情况良好。感染后急性小脑肿胀若在病程早期未被识别和治疗，可能会致命。
