White Cerebellum Sign is a Rare Finding Representing an Irreversible Hypoxic-Ischemic Injury: A Case Report

Abstract

Background: White cerebellum sign is a rare and ominous radiological finding on CT-Scan brain in patients with severe anoxicischemic brain damage. It is usually seen in patients with global brain anoxia usually due to extra-cranial causes. Case presentation: We present a rare case of an elderly male who presented with headache, drowsiness and history of complex partial seizures for two days before admission. On investigations, CPK was raised. All other tests including complete blood picture, liver function tests, renal function tests, serum electrolytes and urine routine examination were normal. CT-Scan brain plain showed white cerebellum sign along with diffuse cerebral edema. Conclusion: The diagnosis of white cerebellum sign was made, and patient was managed accordingly. Patient’s family was counseled about poor prognosis and outcomes of patient.