Journal
JOURNAL OF CLINICAL NEUROSCIENCE
Volume 21, Issue 2, Pages 337-339Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.jocn.2013.04.006
Keywords
Acute disseminated encephalomyelitis; Cerebellar tumor; Cerebellitis; Posterior fossa decompression
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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. (C) 2013 Elsevier Ltd. All rights reserved.
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