Abstract
Introduction
White cerebellum sign is an uncommonly described radiological sign. This sign is mostly described in pediatric age group due to child abuse, head injury& hypoxia¹. It is uncommon in adults but can also be seen following head injury & in postpartum period². Here we describe an adult case with history of chronic alcohol consumption.
Case Report
A 40 year old Hindu male, chronic alcoholic admitted with the complaints of 1 day fever, altered sensorium, repeated attacks of generalised tonic clonic seizure, having no past history of head injury, similar illness, without any significant family history.
General physical examination revealed tachycardia, fever, stuporous condition, low SpO2 (88%).Central nervous system examination revealed GCS 4/15(E2VIM2), pupil bilateral equal size normal reaction to light, with intact corneal relex and brisk deep tendon reflexes. Bilateral non responsive plantar, meningeal signs were absent, skull & spine normal.
References
- Baby N, Gilvaz 0, Kuriakose AN. White cerebellum sign: A poor prognostic sign. Pediatric Neurology. 2019;101:86-7. DOI: 1016/j.pediatrneurol.2019.03.024
- Malik MV, Murthy BTVSP, Raj LCV, Vyas MS, Mehar MUSSV. 'White cerebellum sign' in immediate postpartum period. Med J Armed Forces India. 2015:71 (Suppl 1):s163-5.
DOI: 1016/j.mjafi.2013. 10.01
- Prasad Krishnan et al; journal of neurosciences in rural practice;oct -dec 2014;vol 5;issue 4
- Dwarakanath S, Bansal A, Rudrappa S, Gopal S. Venkataramana NK. White cerebellum sign. A case report and review of literature. J Pediatr Neurosci. 2006:1(3):22-3.
- Huang BY, Castillo M. Hypoxic-ischemic brain injury. Imaging findings from birth to adulthood. Radiographics. 2008 Mar 28(2):417-439.
- Gutierrez LG, Rovira A, Portela LAP, Leite CC. CT and MR in non-neonatal hypoxic-ischemic encephalopathy; radiological findings with pathophysiological correlations Neuroradiology. Nov 2010,52(11)949-976.
- Chalela JA, Rothlisberger J, West B, Hays A. The white cerebellum sign: an under recognized sign of increased intracranial pressure. Neurocrit Care. 2013 Jun,18(3):398-399.
- Huisman TA, Kubat SH, Eckhardt BP. The dark cerebellar sign. Neuropediatrics. 2007 Jun;38{3):160-163.
Corresponding Author
Dr Aswin Suresh
Junior Resident, Dept of Medicine, MKCG MCH Berhampur Odisha
DOI: https://dx.doi.org/10.18535/jmscr/v9i3.06
