Open AccessA Case Report of Lhermitte-Duclos Disease in a 10-Month-Old Child Presenting with Hydrocephalus
Author(s) -
Abhishek Tamrakar,
Pritam Gurung,
Samir Acharya,
Pravesh Rajbhandhari,
Basant Pant
Publication year - 2019
Publication title -
nepal journal of neuroscience
Language(s) - English
Resource type - Journals
eISSN - 1813-1956
pISSN - 1813-1948
DOI - 10.3126/njn.v16i3.27363
Subject(s) - medicine , hydrocephalus , cerebellar hemisphere , differential diagnosis , magnetic resonance imaging , rare disease , radiology , obstructive hydrocephalus , pediatrics , disease , pathology
Lhermitte–Duclos Disease is a rare entity characterized by diffuse or focal enlargement of cerebellar folia. Clinical manifestations are usually related to a mass effect and secondary obstructive hydrocephalus. Increased intracranial pressure symptoms and cerebellar symptoms are the most frequent patient complaints. We present a 10-month-old male child with his mother who presented to the outpatient department with complaints of enlargement of size of head since the last one week. Magnetic Resonance Imaging scan revealed the features of Lhermitte–Duclos Disease involving the right cerebellar hemisphere with marked post contrast gyral enhancement. He underwent endoscopic third ventriculostomy. Lhermitte–Duclos Disease is very rare in early childhood and should be considered in the differential diagnosis of posterior fossa lesions.