title: The white cerebellum sign: an under recognized sign of increased intracranial pressure.
abstract: BACKGROUND
  The "white cerebellum" sign is a rare imaging finding described mainly in children with hypoxic brain injury.
  
  
  METHODS
  Single case report and review of the literature.
  
  
  RESULTS
  We describe a child with acute bacterial meningitis in whom plain CT and MRI showed the white cerebellum sign. The subtle imagings findings were not recognized and a lumbar puncture was performed. Markedly increased intracranial pressure was documented by lumbar puncture and by placement of an intraparenchymal monitor. Contrary to most prior descriptions the patient made a very good recovery.
  
  
  CONCLUSIONS
  The white cerebellum sign is a subtle imaging finding seen in patients with diffuse cerebral edema, such finding may not be as ominous as previously thought.
authors.affiliation: Neurosciences Department, Medical University of South Carolina, Charleston, SC, USA. chalela@musc.edu
authors.forename: Julio A
authors.initials: JA
authors.lastname: Chalela
authors.forename: Julia
authors.initials: J
authors.lastname: Rothlisberger
authors.forename: Bryan
authors.initials: B
authors.lastname: West
authors.forename: Angela
authors.initials: A
authors.lastname: Hays
mesh_terms: D001929:Brain Edema / Q000175:diagnosis* / Q000209:etiology; D002531:Cerebellum / Q000000981:diagnostic imaging / Q000473:pathology; D002675:Child, Preschool; D006801:Humans; D019586:Intracranial Hypertension / Q000175:diagnosis* / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed