The white cerebellum sign: An under recognized sign of increased intracranial pressure

Academic Article


  • Background: The "white cerebellum" sign is a rare imaging finding described mainly in children with hypoxic brain injury. Materials and Methods: Single case report and review of the literature. Findings: 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. © 2013 Springer Science+Business Media New York.
  • Published In

  • Neurocritical Care  Journal
  • Digital Object Identifier (doi)

    Author List

  • Chalela JA; Rothlisberger J; West B; Hays A
  • Start Page

  • 398
  • End Page

  • 399
  • Volume

  • 18
  • Issue

  • 3