Abstract

CEPILLO BOLUDA, Antonio Javier; MARTIN-TAMAYO BLAZQUEZ, María del Pilar; ONSURBE RAMIREZ, Ignacio  and  LOZANO SETIEN, Elena. A patient with intracranial hypertension as clinical sign of acute hemicerebellitis. Rev Clin Med Fam [online]. 2017, vol.10, n.3, pp.208-211. ISSN 2386-8201.

Headache is a frequent pathology in pediatric Primary Care, most of which correspond to primary headaches that do not require additional examination. When headache is suggestive of intracranial pathology, imaging tests are needed, since tumors are a frequent cause of secondary headache. However, intracranial hypertension (IH) may be a symptom of other benign pathologies, such as hemicerebellitis.

We present the case of a 10-year-old girl, with headache that progresses into IH of acute onset. Magnetic resonance imaging revealed unilateral inflammation of the cerebellum, diagnosed as hemicerebellitis. Symptoms continued until a lumbar puncture was performed, after which the patient became asymptomatic. This pathology has an excellent prognosis, and clinical remission is complete. In most cases, a residual cerebellar atrophy of the affected hemisphere remains, generally without clinical impact. The clinical course and the findings of magnetic resonance imaging help to discard malignancy and to take a diagnostic and therapeutic conservative approach.

Keywords : Cerebellar Diseases; Neoplasms; Magnetic Resonance Imaging.

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