Inflammatory disease of the cerebellum

Inflammatory disease of the cerebellum usually occur on the background of diseases of the brain and the symptoms Meters are components of all available clinical lesions of the Central nervous system. There are three forms of inflammatory diseases of the brain and its meninges with predominant localization process in the posterior cranial fossa, manifested symptoms meningoencephalitis: 1) with the presence of occlusion at the level of the posterior cranial fossa; 2) the manifestation of a moderately expressed syndrome of increased intracranial pressure, but without threatening occlusive attacks; 3) without symptoms of increased intracranial pressure.
Chronic inflammatory processes in the brain and the membranes with occlusion at the level of the posterior cranial fossa detected expressed in different degrees productive inflammation in the soft brain membranes and chronic periventricular encephalitis with internal dropsy. In the area median holes ventricle (apertura mediana ventriculi quarti) reveals the growth of adhesions and often fusion dense spikes of the cerebellar tonsils between itself and the brain stem. In the cavity of the fourth ventricle growth, spreading over from the bottom of the diamond-shaped holes on the rear of the sail and tightly closed middle hole on the part of the fourth ventricle.
In most cases, set the obvious connection of developing the disease from previous infection. Quite often observed temperature reaction; characteristic inflammatory process of change of leukocyte blood are rare. The structure of the cerebrospinal fluid depends on the period of the inflammatory process. In the subacute period there is pronouncedly lymphocytosis with slightly increased or normal amount of protein. The chronic course of the disease of acute spinal or ventricular fluid is normal or characteristic of hydrocephalus composition. Usually in inflammatory diseases and zadnekamernye, cerebral symptoms are less sharply than in tumors, located in the posterior cranial fossa. There are marked and persistent remission and reverse the disease under the influence of rest and anti-inflammatory treatment. Often there are cases when inflammatory disease very similar to the clinical course with tumors of the posterior cranial fossa (see below) and to conduct differential diagnosis between them is difficult.
If conservative treatment is ineffective, progresses syndrome of increased intracranial pressure and shows the difficulty of liquorices, see the operation of opening of the posterior cranial fossa. Identification of occlusion at the level of the median holes of the fourth ventricle is an indication for the dissection of the cerebellar vermis with the opening of the cavity of the fourth ventricle than recovering the outflow of fluid from the ventricular system in the basal cisterns and the subarachnoid space. If during the operation, it turns out that the difficulty of liquorices is connected with the difficulty flow within the cavity of the fourth ventricle or water supply system of the brain, the operation of Thorkildsen (see Hydrocephalus).