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T1W coronal MRI images show left cerebellar hypoplasia (arrows)
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Figure 0002: T1W coronal MRI images show left cerebellar hypoplasia (arrows)

Mentions: A CT scan showed hypoplasia of the left cerebellar hemisphere, a large cisterna magna, and asymmetry of the posterior fossa: the left side being smaller than the right [Figure 1]. The smaller size of the left cerebellar hemisphere could be better appreciated on MRI [Figure 2]. Based on these imaging findings, a diagnosis of unilateral cerebellar hypoplasia was made. The child was managed conservatively for the head injury and he recovered.

Unilateral cerebellar hypoplasia

Vagh JD, Gadekar A, Agrawal A, Deshmukh K - Indian J Radiol Imaging (2009 Apr-Jun)

Bottom Line: Unilateral cerebellar hypoplasia is a relatively rare malformation.We report the case of a 7-year-old boy who presented with a history of a fall, which was followed by cerebellar signs.The child recovered with conservative management, probably because the cerebellar signs were due to the trauma and not the hypoplasia itself.

Affiliation: Department of Surgery, Datta Meghe Institute of Medical Sciences, Sawangi, Meghe, Wardha, India.

ABSTRACT
Unilateral cerebellar hypoplasia is a relatively rare malformation. We report the case of a 7-year-old boy who presented with a history of a fall, which was followed by cerebellar signs. Imaging findings suggested a diagnosis of unilateral cerebellar hypoplasia. The child recovered with conservative management, probably because the cerebellar signs were due to the trauma and not the hypoplasia itself.

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