Cerebellum injury is a severe and underestimated complication in very low birth-weight infants. Six cases of extreme premature babies are reported: 3 of them died during the neonatal period; the other 3 survived with severe neurological disabilities. Microcephaly, strabismus, and severe developmental delay without major motor handicap are very peculiar for the preterm in the long-term outcome. Easy diagnosis is possible by specific ultrasound windows and early diagnosis is required regarding the possible severe prognosis and to organize precisely the follow-up.
Merrill JD, Piecuch RE, Fell SC, et al. A new pattern of cerebellar hemorrhages in preterm infants. Pediatrics. 1998;102:E62.
2.
Limperopoulos C., Benson CB, Bassan H., et al. Cerebellar hemorrhage in the preterm infant: ultrasonic findings and risk factors. Pediatrics. 2005;116:717-724.
3.
Bodensteiner JB, Johnsen SDCerebellar injury in the extremely premature infant: newly recognized but relatively common outcome. J Child Neurol. 2005;20:139-142.
4.
Johnsen SD, Bodensteiner JB, Lotze TEFrequency and nature of cerebellar injury in the extremely premature survivor with cerebral palsy. J Child Neurol. 2005;20:60-64.
5.
Bodensteiner JB, Johnsen SDMagnetic resonance imaging (MRI) findings in children surviving extremely premature delivery and extremely low birth-weight with cerebral palsy. J Child Neurol. 2006;21:743-747.
6.
Grunnet ML, Shields WDCerebellar hemorrhage in the premature infants. J Pediatr . 1976;88(pt 1):605-608.
Perlman JM, Nelson JS, Mc Alister WH, Volpe JJIntracerebellar hemorrhage in a premature newborn: diagnosis by real-time ultrasound and correlation with autopsy findings. Pediatrics . 1983; 71:159-162.
9.
Barba D., James HEThe occipital transtentorial approach to the posterior fossa in the pediatric patient. Childs Brain. 1984;11: 145-154.
10.
Peterson CM, Smith WL, Franken EANeonatal intra-cerebellar hemorrhage: detection by real-time ultrasound. Radiology. 1984; 150:391-392.
Williamson WD , Percy AK, Fishman MA, et al. Cerebellar hemorrhage in the term neonate: developmental and neurologic outcome. Pediatr Neurol . 1985;1:356-360.
13.
Levisohn L. , Cronin-Golomb A., Schmahmann JDNeuropsychological consequences of cerebellar tumour resection in children: cerebellar cognitive affective syndrome in a paediatric population. Brain. 2000;123:1041-1050.
14.
Steinlin M. , Imfeld S., Zulauf P., et al. Neuropsychological long-term sequelae after posterior fossa tumour resection during childhood. Brain. 2003;126:1998-2008.
15.
Schmahmann JD, Pandya DNThe cerebrocerebellar system. Int Rev Neurobiol. 1997;41:31-60.