Back to Search Start Over

Chronological diffusion-weighted imaging changes and mutism in the course of rotavirus-associated acute cerebellitis/cerebellopathy concurrent with encephalitis/encephalopathy.

Authors :
Kubota T
Suzuki T
Kitase Y
Kidokoro H
Miyajima Y
Ogawa A
Natsume J
Okumura A
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.)

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