• Neurocritical care · Jun 2013

    Review Case Reports

    The white cerebellum sign: an under recognized sign of increased intracranial pressure.

    • Julio A Chalela, Julia Rothlisberger, Bryan West, and Angela Hays.
    • Neurosciences Department, Medical University of South Carolina, Charleston, SC, USA. chalela@musc.edu
    • Neurocrit Care. 2013 Jun 1;18(3):398-9.

    BackgroundThe "white cerebellum" sign is a rare imaging finding described mainly in children with hypoxic brain injury.Materials And MethodsSingle case report and review of the literature.FindingsWe describe a child with acute bacterial meningitis in whom plain CT and MRI showed the white cerebellum sign. The subtle imagings findings were not recognized and a lumbar puncture was performed. Markedly increased intracranial pressure was documented by lumbar puncture and by placement of an intraparenchymal monitor. Contrary to most prior descriptions the patient made a very good recovery.ConclusionsThe white cerebellum sign is a subtle imaging finding seen in patients with diffuse cerebral edema, such finding may not be as ominous as previously thought.

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