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Pediatric Opioid-Use-Associated Neurotoxicity with Cerebellar Edema: A Case of POUNCE Syndrome Following Vein of Galen Aneurysm Treatment Cover

Pediatric Opioid-Use-Associated Neurotoxicity with Cerebellar Edema: A Case of POUNCE Syndrome Following Vein of Galen Aneurysm Treatment

Open Access
|Nov 2024

Figures & Tables

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Figure 1

Axial T2‑weighted MRI shows a hyperintense signal in both cerebellar hemispheres and the brainstem, indicative of edema.

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Figure 2

Axial ADC map demonstrates diffusion restriction predominantly in the cerebellar hemispheres and involvement of the brainstem, consistent with cytotoxic edema.

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Figure 3

Sagittal T2‑weighted MRI showing an intense signal in the cerebellum, causing mass effect with anterior displacement of the medullar bulb.

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Figure 4

Sagittal FLAIR‑weighted MRI image showing cerebellar atrophy following opioid‑induced toxicity. A pre‑existing cystic malformation of the posterior fossa, consistent with a Blake’s pouch cyst, remains visible.

DOI: https://doi.org/10.5334/jbsr.3786 | Journal eISSN: 2514-8281
Language: English
Submitted on: Oct 9, 2024
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Accepted on: Oct 18, 2024
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Published on: Nov 14, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Maxime Goldfinger, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.