Tonsillar contusion associated with benign tonsillar ectopia following minor head trauma. Academic Article uri icon

abstract

  • Purpose The relationship between tonsil position and symptomatic cerebellar contusion is unclear. To date, there are no reports of symptomatic traumatic brain injury associated with benign tonsillar ectopia. Reported cases are limited to prominent cerebellar tonsillar displacement by≥ 5 mm (ie, Chiari malformations). Methods The authors describe a case of symptomatic concussion in a toddler with unusual computerized tomography (CT) presentation and incidental finding of benign tonsillar ectopia, hemorrhagic contusion of the tonsils, blood-brain barrier (BBB) disruption and delayed atrophy shown using magnetic resonance imaging (MRI) studies. The radiological presentation and the clinical challenges are discussed through a review of the literature. Conclusion This case suggests that damage to cerebellar structures is not limited only to overt tonsillar herniation. Benign tonsillar …

publication date

  • January 1, 2016