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Acute Cerebellar Ataxia Associated with Modest Elevation of Anti-GAD Antibodies in a Young Patient Cover

Acute Cerebellar Ataxia Associated with Modest Elevation of Anti-GAD Antibodies in a Young Patient

By: Juliana Gomez and  Dongkwan Jin  
Open Access
|Jan 2019

Figures & Tables

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Figure 1

Brain MRI Demonstrating Cerebellar Inflammation. (A) Brain magnetic resonance imaging (MRI), axial view, fluid-attenuated inversion recovery sequence showing high signal intensity in the cerebellar hemisphere with dilatation of temporal horns of the lateral ventricles due to hydrocephalus. (B) MRI brain, axial view, post-contrast T1-weighted sequence demonstrating prominence of perforating vessels in the cerebellar hemispheres but no apparent parenchymal enhancement. A and B scans were obtained at the initial presentation. (C) Brain MRI, axial view, FLAIR sequence. This scan was done 20 days from disease onset. It shows subtle increased T2 signal within the bilateral cerebellar hemispheres, improved, in comparison with previous studies. It also shows improvement of the hydrocephalus.

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Figure 2

Brain MRI Demonstrating Cerebellar Atrophy. (A) Brain magnetic resonance imaging (MRI), sagittal view, T1-weighted image at the level of midline cerebellum, this image was obtained at the initial presentation. (B) Brain MRI, sagittal view, T1-weighted image. This is a follow-up MRI at 6 months after disease onset showing significant cerebellar atrophy.

DOI: https://doi.org/10.5334/tohm.443 | Journal eISSN: 2160-8288
Language: English
Submitted on: Nov 12, 2018
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Accepted on: Nov 29, 2018
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Published on: Jan 8, 2019
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2019 Juliana Gomez, Dongkwan Jin, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons License.