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Chronological diffusion-weighted imaging changes and mutism in the course of rotavirus-associated acute cerebellitis/cerebellopathy concurrent with encephalitis/encephalopathy.
- Source :
-
Brain & development [Brain Dev] 2011 Jan; Vol. 33 (1), pp. 21-7. Date of Electronic Publication: 2010 May 26. - Publication Year :
- 2011
-
Abstract
- Rotavirus is one of the most common causes of gastroenteritis in children and is known to accompany some neurological disorders such as encephalitis/encephalopathy and seizures. Although cerebellar disorders sometime occur as a complication of rotavirus gastroenteritis in Japan, few reports have addressed these issues. Here, we report three cases of insulted cerebellums in addition to encephalitis/encephalopathy associated with rotavirus. Similar to posterior fossa syndrome after surgery, mutism was a notable symptom that lasted about 1 month. Brain diffusion-weighted imaging (DWI) revealed chronological changes, i.e., marked hyperintensity in the bilateral dentate nucleus followed by the vermis and cerebellar hemisphere. The bilateral dentate nucleus is known to be a key lesion site for mutism, and these clinical and radiological findings may be tightly connected in rotavirus-associated cerebellitis/cerebellopathy.<br /> (Copyright © 2010 Elsevier B.V. All rights reserved.)
- Subjects :
- Cerebellar Diseases complications
Cerebellar Diseases pathology
Child, Preschool
Encephalitis pathology
Encephalitis physiopathology
Female
Gastroenteritis complications
Gastroenteritis physiopathology
Gastroenteritis virology
Humans
Infant
Male
Rotavirus Infections pathology
Rotavirus Infections physiopathology
Cerebellar Diseases etiology
Cerebellar Diseases virology
Diffusion Magnetic Resonance Imaging methods
Encephalitis etiology
Encephalitis virology
Mutism etiology
Mutism pathology
Rotavirus Infections complications
Subjects
Details
- Language :
- English
- ISSN :
- 1872-7131
- Volume :
- 33
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Brain & development
- Publication Type :
- Academic Journal
- Accession number :
- 20510558
- Full Text :
- https://doi.org/10.1016/j.braindev.2010.04.007