White Cerebellum Sign: case series and literature review

Introduction: The white cerebellum sign is a rare radiological finding, seen in severe traumatic brain injury and severe hypoxia. Radiologically, it is characterized by cerebellar hyperdensity, associated with diffuse cerebral hemispheres hypoattenuation. This paper aims to guide the white cerebellu...

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Autores principales:	Carlos Umberto Pereira, André Fabiano de Carvalho, Nicollas Nunes Rabelo, Gabriela Ferreira Kalkmann, Letícia Novak Crestani, Letícia Adrielle dos Santos
Formato:	article
Lenguaje:	EN
Publicado:	Brazilian Society for Pediatric Neurosurgery 2020
Materias:	cerebellum neuroimaging prognosis traumatic brain injury white cerebellum sign Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/07d931a344f34d39807756d04e572be6
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spelling	oai:doaj.org-article:07d931a344f34d39807756d04e572be62021-11-23T21:46:36ZWhite Cerebellum Sign: case series and literature review2675-362610.46900/apn.v2i3(September-December).51https://doaj.org/article/07d931a344f34d39807756d04e572be62020-10-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/51https://doaj.org/toc/2675-3626Introduction: The white cerebellum sign is a rare radiological finding, seen in severe traumatic brain injury and severe hypoxia. Radiologically, it is characterized by cerebellar hyperdensity, associated with diffuse cerebral hemispheres hypoattenuation. This paper aims to guide the white cerebellum sign diagnosis in traumatic craniocerebral injuries or not in pediatric patients. Patients and Methods: The authors present a series of five cases that showed the white cerebellum sign from the period about 2007 and 2010, associated with a literature review. Results: The white cerebellum sign was present in 5 patients, three of them were male and 2 female. The mean age was 22 months. The causes of which were: traumatic brain injury (3), drowning (1) and metabolic encephalopathy (1). The skull computerized tomography scan was performed in all cases. All patients were submitted to conservative treatment. There were four deaths and one survived with severe neurological sequelae. Conclusion: The white cerebellum sign is associated with irreversible brain damage, and its pathophysiology is controversial. The imaging tests are important to diagnosis. It has a poor prognosis, associated with the development of diffuse cerebral atrophy or cystic encephalomalacia in those who survive.Carlos Umberto PereiraAndré Fabiano de CarvalhoNicollas Nunes RabeloGabriela Ferreira KalkmannLetícia Novak CrestaniLetícia Adrielle dos SantosBrazilian Society for Pediatric Neurosurgeryarticlecerebellumneuroimagingprognosistraumatic brain injurywhite cerebellum signPediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 2, Iss 3(September-December), Pp e512020-e512020 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	cerebellum neuroimaging prognosis traumatic brain injury white cerebellum sign Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	cerebellum neuroimaging prognosis traumatic brain injury white cerebellum sign Pediatrics RJ1-570 Surgery RD1-811 Carlos Umberto Pereira André Fabiano de Carvalho Nicollas Nunes Rabelo Gabriela Ferreira Kalkmann Letícia Novak Crestani Letícia Adrielle dos Santos White Cerebellum Sign: case series and literature review
description	Introduction: The white cerebellum sign is a rare radiological finding, seen in severe traumatic brain injury and severe hypoxia. Radiologically, it is characterized by cerebellar hyperdensity, associated with diffuse cerebral hemispheres hypoattenuation. This paper aims to guide the white cerebellum sign diagnosis in traumatic craniocerebral injuries or not in pediatric patients. Patients and Methods: The authors present a series of five cases that showed the white cerebellum sign from the period about 2007 and 2010, associated with a literature review. Results: The white cerebellum sign was present in 5 patients, three of them were male and 2 female. The mean age was 22 months. The causes of which were: traumatic brain injury (3), drowning (1) and metabolic encephalopathy (1). The skull computerized tomography scan was performed in all cases. All patients were submitted to conservative treatment. There were four deaths and one survived with severe neurological sequelae. Conclusion: The white cerebellum sign is associated with irreversible brain damage, and its pathophysiology is controversial. The imaging tests are important to diagnosis. It has a poor prognosis, associated with the development of diffuse cerebral atrophy or cystic encephalomalacia in those who survive.
format	article
author	Carlos Umberto Pereira André Fabiano de Carvalho Nicollas Nunes Rabelo Gabriela Ferreira Kalkmann Letícia Novak Crestani Letícia Adrielle dos Santos
author_facet	Carlos Umberto Pereira André Fabiano de Carvalho Nicollas Nunes Rabelo Gabriela Ferreira Kalkmann Letícia Novak Crestani Letícia Adrielle dos Santos
author_sort	Carlos Umberto Pereira
title	White Cerebellum Sign: case series and literature review
title_short	White Cerebellum Sign: case series and literature review
title_full	White Cerebellum Sign: case series and literature review
title_fullStr	White Cerebellum Sign: case series and literature review
title_full_unstemmed	White Cerebellum Sign: case series and literature review
title_sort	white cerebellum sign: case series and literature review
publisher	Brazilian Society for Pediatric Neurosurgery
publishDate	2020
url	https://doaj.org/article/07d931a344f34d39807756d04e572be6
work_keys_str_mv	AT carlosumbertopereira whitecerebellumsigncaseseriesandliteraturereview AT andrefabianodecarvalho whitecerebellumsigncaseseriesandliteraturereview AT nicollasnunesrabelo whitecerebellumsigncaseseriesandliteraturereview AT gabrielaferreirakalkmann whitecerebellumsigncaseseriesandliteraturereview AT leticianovakcrestani whitecerebellumsigncaseseriesandliteraturereview AT leticiaadrielledossantos whitecerebellumsigncaseseriesandliteraturereview
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White Cerebellum Sign: case series and literature review

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