Transient acquired stuttering in a child.

We describe a case of a 9-year-old girl who, after removal of a cerebellar tumour and a secondary right temporo-parietal epidural haematoma, developed transient stuttering, with signs of right hemispheric involvement. Her speech behavlour was very similar to stuttering associated with acquired neurological disorder in adults and different from developmental stuttering and dysarthria subsequent to posterior fossa tumour surgery. Acquired stuttering is rarely reported in children and we think that it was the result of combined right hemispheric and cerebellar dysfunction in this case

Pontocerebellar hypoplasia type 2: variability in clinical and imaging findings

We report 24 children (14 girls) who presented with the typical neuroimaging findings of pontocerebellar hypoplasia (PCH) to describe the clinical spectrum of type 2. Twenty-one presented with the classical form described by Barth; characteristic features (15/21) were breathing and/or sucking problems during neonatal period and early onset hyperkinetic movement disorder. Eighteen were normocephalic at birth, but all developed microcephaly during infancy. Development was severely affected with none of the children being capable of sitting, walking, or talking. Social contact and visual fixation were persistently poor. Dyskinetic movement disorder was present in all, in some together with mild spasticity. Seizures occurred in 14 (in 7 as neonates). Eight children died (age 1 day-6 years). Neuroimaging showed an absent or severely flattened pons, different degrees of vermian hypoplasia, with cerebellar hemispheres (wing-like structures) being equally or more affected. Three (all girls) were less severely affected clinically and did not develop the dyskinetic movement disorder, motor and cognitive development were somewhat better. Microcephaly was also a prominent sign. Severity of pontocerebellar neuroimaging findings did not differentiate between the typical and atypical clinical group and did not correlate with clinical outcome

Neuroimaging in childhood arterial ischaemic stroke : evaluation of imaging modalities and aetiologies

The aim of this study was to describe neuroimaging patterns associated with arterial ischaemic stroke (AIS) in childhood and to differentiate them according to stroke aetiology