Symmetrical Lesions of the Middle Cerebellar Peduncle: MR Imaging and Differential Diagnosis

The purpose of this paper is to show several diseases that manifest symmetrical hyperintense lesions on the middle cerebellar peduncles, the largest connecting peduncles between the brainstem and the cerebellum, in conventional magnetic resonance (MR) images. We retrospectively reviewed cranial MR i...

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Veröffentlicht in:Magnetic Resonance in Medical Sciences 2004, Vol.3(3), pp.133-140
Hauptverfasser: UCHINO, Akira, SAWADA, Akihiro, TAKASE, Yukinori, KUDO, Sho
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container_title Magnetic Resonance in Medical Sciences
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creator UCHINO, Akira
SAWADA, Akihiro
TAKASE, Yukinori
KUDO, Sho
description The purpose of this paper is to show several diseases that manifest symmetrical hyperintense lesions on the middle cerebellar peduncles, the largest connecting peduncles between the brainstem and the cerebellum, in conventional magnetic resonance (MR) images. We retrospectively reviewed cranial MR images obtained with 0.3-, 0.5-, 1.0-, and 1.5-Tesla scanners. We found symmetrical middle cerebellar peduncular lesions in patients with Wilson's disease; hepatic encephalopathy; extrapontine myelinolysis; acute disseminated encephalomyelitis; wallerian degeneration of the pontocerebellar tracts after either pontine infarction, pontine hemorrhage, or central pontine myelinolysis; leukodystrophy; olivopontocerebellar atrophy; and toluene abuse. Definitive diagnosis of these diseases can be made relatively easily on the basis of clinical data; however, examination of associated brainstem or supratentorial lesions in MR images is also important.
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; Open Access Titles of Japan
subjects Adolescent
Adult
Aged
Cerebellar Diseases - diagnosis
demyelinating disease
Demyelinating Diseases - diagnosis
Diagnosis, Differential
Female
Humans
magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Middle Aged
middle cerebellar peduncle
pontocerebellar tract
Retrospective Studies
title Symmetrical Lesions of the Middle Cerebellar Peduncle: MR Imaging and Differential Diagnosis
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