Bilateral in utero cerebellar infarction.
We report a case of complete bilateral cerebellar infarction diagnosed in utero by routine prenatal ultrasound and magnetic resonance imaging in a 26-week-old fetus. This posterior fossa ischemic stroke with secondary hemorrhage caused transient obstructive hydrocephalus and likely occurred subsequent to vertebrobasilar artery thrombosis. Such posterior fossa ischemic insults diagnosed in utero are rare with scarce clinical reports. The serial imaging characteristics, clinical, and developmental implications of this case are reviewed.
Department of Neurology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas, USA.
Safdar A
SA
Ansari
Jill V
JV
Hunter
Lisa M
LM
Nassif
Gary D
GD
Clark
Melissa B
MB
Ramocki
D020520:Brain Infarction / Q000000981:diagnostic imaging / Q000473:pathology*; D002526:Cerebellar Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology; D020767:Intracranial Thrombosis / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D011247:Pregnancy; D014463:Ultrasonography; D014715:Vertebrobasilar Insufficiency / Q000000981:diagnostic imaging / Q000473:pathology*
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