Man with Cerebellar Signs

Saturday, October 9, 2010
33 years old male with a a long history of unsteadiness, since childhood. Mentation was below average. Clinicians elicited 'past-pointing' and ataxia.

Identify this CT scan???


ANSWER

There are visible cerebellar folia. The 4th ventricle is large. The foramina of Magendie and Lushka are shown in one cut. The posterior fossa cisterns are visible. The pons and brain stem are grossly normal size. All of the diagnostic changes lie below the tentorium cerebelli.

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12 comments

  1. Anonymous Says:
  2. spinocerebellar degen3ration

     
  3. Anonymous Says:
  4. degeneration of cereberal vermis

     
  5. Anonymous Says:
  6. hypothyroidism??

     
  7. Anonymous Says:
  8. brain atrophy minimal degree

     
  9. Anonymous Says:
  10. pure cerebellar eredoataxia

     
  11. Anonymous Says:
  12. called cerebellar ataxia the lesion is found in the fourth pic in right side the white collection in brain

     
  13. Anonymous Says:
  14. rrr

     
  15. Anonymous Says:
  16. Friedreich's ataxia

     
  17. Anonymous Says:
  18. Milda cerebellar hypoplasia

     
  19. Anonymous Says:
  20. cerebellar atrophy,spinocerebeller degeneration

     
  21. Anonymous Says:
  22. there is definitely cerebellar atrophy mostly in the anterior lobe and vermis, interestingly pons and medulla have a normal size. Although this can be spinocerebellar ataxia, the problem is which one there are far to many genotypes right now and doubt we can identify one by CT scan.

    WOnder if this is Fragile X syndrome as is an important cause of mental retardation in adult males. SHould exclude possibility of lond term treatment with phenytoin if he had hx of seizures

     
  23. Anonymous Says:
  24. Dandy walker syndrome, variant

     

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