[Non-edematous spontaneously resolving cerebellar softening. Diagnostic possibilities and value (author's transl)].
Non edematous cerebellar softenings are usually unrecognized even though their relatively high frequency of occurrence is proved by systematic anatomical studies. They should be suspected when an acute late-onset vestibular syndrome is noted, in which there is a particular type of homolateral disequilibrium and nystagmus, good vestibular reactivity, and possible association with a cerebellar syndrome. Softening can usually be confirmed after several days by the complementary examinations presently available: computer tomography of the posterior fossa and scintigraphy with labelled bleomycin. Non-edematous forms are spontaneously resolving disorders but surveillance during the first few days is necessary together with anti-edematous therapy as early signs are common to those of edematous softening, responsible for rapid involvement of the brain stem and blocking of fluid pathways.
D000368:Aged; D001761:Bleomycin; D002526:Cerebellar Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004584:Electronystagmography; D004678:Encephalomalacia / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D004856:Postural Balance; D011877:Radionuclide Imaging; D012075:Remission, Spontaneous; D014722:Vestibule, Labyrinth / Q000503:physiopathology
D001761:Bleomycin
Ramollissement cérébelleux non oedémateux, spontanément curable. Possibilités et intérêt de son dépistage.