Bilateral middle cerebellar peduncle lesions
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Involvement of both middle cerebellar peduncles is uncommon, but has a relatively relatively long differential, including 1:
- neurodegenerative diseases
- metabolic diseases
- adrenoleukodystrophy
- Wilson disease
- alcoholic liver cirrhosis
- hypoglycemic coma
- neoplasms
- cerebrovascular disease
- AICA infarction
- hypertensive encephalopathy
- Pontine infarct with Wallerian degeneration (involving bilateral middle cerebellar peduncle)
- inflammatory & demyelinating diseases
- Cyclosporin-A encephalopathy
-<p><strong>Involvement of both middle cerebellar peduncles</strong> is uncommon, but has a relatively long differential, including <sup>1</sup>:</p><ul><li><a href="/articles/neurodegenerative-disease" title="Neurodegenerative diseases">neurodegenerative diseases </a><ul><li><a href="/articles/multiple-system-atrophy" title="Multiple system atrophy (MSA)">multiple systemic atrophy (MSA)</a><ul><li><a href="/articles/olivopontocerebellar-degeneration" title="Olivopontocerebellar atrophy (OPCA)" style="color: rgb(63, 117, 216); text-decoration: none; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">olivopontocerebellar atrophy</a></li><li><a href="/articles/shy-drager-syndrome-2" title="Shy-Drager syndrome" style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; color: rgb(63, 117, 216); text-decoration: none; ">Shy-Drager syndrome</a></li></ul></li><li><a href="/articles/spinocerebellar-atrophy" title="spinocerebellar atrophy">spinocerebellar atrophy</a></li></ul></li><li>metabolic diseases <ul><li><a href="/articles/adrenoleukodystrophy" title="Adrenoleukodystrophy">adrenoleukodystrophy</a></li><li><a href="/articles/wilson-disease-2" title="Wilson disease">Wilson disease</a></li><li>alcoholic liver cirrhosis</li><li><a href="/articles/hypoglycemic-coma" title="hypoglycemic coma">hypoglycemic coma </a></li></ul></li><li>neoplasms<ul><li><a href="/articles/primary-cns-lymphoma" title="Primary CNS lymphoma (PCNSL)">primary CNS lymphoma</a></li><li><a href="/articles/brainstem-glioma" title="Brainstem glioma">brainstem glioma</a></li><li><a href="/articles/leptomeningeal-metastases" title="Leptomeningeal carcinomatosis">leptomeningeal carcinomatosis</a></li></ul></li><li>cerebrovascular disease<ul><li><a href="/articles/aica-infarction" title="AICA infarction">AICA infarction</a></li><li><a href="/articles/hypertensive-encephalopathy" title="hypertensive encephalopathy">hypertensive encephalopathy</a></li></ul></li><li>inflammatory & demyelinating diseases<ul><li><a href="/articles/multiple-sclerosis" title="Multiple sclerosis (MS)">multiple sclerosis (MS)</a></li><li><a href="/articles/acute-disseminated-encephalomyelitis" title="Acute disseminated encephalomyelitis (ADEM)">acute disseminated encephalomyelitis (ADEM</a>)</li><li><a href="/articles/behcet-disease-1" title="Behçet disease">Behcet disease</a></li><li><a href="/articles/hiv-encephalopathy" title="HIV encephalopathy">HIV encephalopathy</a></li></ul></li><li><a href="/articles/cyclosporin-a-encephalopathy" title="Cyclosporin-A encephalopathy">Cyclosporin-A encephalopathy</a></li></ul>- +<p><strong>Involvement of both middle cerebellar peduncles</strong> is uncommon, but has a relatively long differential, including <sup>1</sup>:</p><ul>
- +<li>
- +<a href="/articles/neurodegenerative-disease">neurodegenerative diseases </a><ul>
- +<li>
- +<a href="/articles/multiple-system-atrophy">multiple systemic atrophy (MSA)</a><ul>
- +<li><a href="/articles/olivopontocerebellar-degeneration">olivopontocerebellar atrophy</a></li>
- +<li><a href="/articles/shy-drager-syndrome-2">Shy-Drager syndrome</a></li>
- +</ul>
- +</li>
- +<li><a href="/articles/spinocerebellar-atrophy">spinocerebellar atrophy</a></li>
- +</ul>
- +</li>
- +<li>metabolic diseases <ul>
- +<li><a href="/articles/adrenoleukodystrophy">adrenoleukodystrophy</a></li>
- +<li><a href="/articles/wilson-disease-2">Wilson disease</a></li>
- +<li>alcoholic liver cirrhosis</li>
- +<li><a href="/articles/hypoglycemic-coma">hypoglycemic coma </a></li>
- +</ul>
- +</li>
- +<li>neoplasms<ul>
- +<li><a href="/articles/primary-cns-lymphoma">primary CNS lymphoma</a></li>
- +<li><a href="/articles/brainstem-glioma">brainstem glioma</a></li>
- +<li><a href="/articles/leptomeningeal-metastases">leptomeningeal carcinomatosis</a></li>
- +</ul>
- +</li>
- +<li>cerebrovascular disease<ul>
- +<li><a href="/articles/aica-infarction">AICA infarction</a></li>
- +<li><a href="/articles/hypertensive-encephalopathy">hypertensive encephalopathy</a></li>
- +<li>Pontine infarct with Wallerian degeneration (involving bilateral middle cerebellar peduncle)</li>
- +</ul>
- +</li>
- +<li>inflammatory & demyelinating diseases<ul>
- +<li><a href="/articles/multiple-sclerosis">multiple sclerosis (MS)</a></li>
- +<li>
- +<a href="/articles/acute-disseminated-encephalomyelitis">acute disseminated encephalomyelitis (ADEM</a>)</li>
- +<li><a href="/articles/behcet-disease-2">Behcet disease</a></li>
- +<li><a href="/articles/hiv-encephalopathy">HIV encephalopathy</a></li>
- +</ul>
- +</li>
- +<li><a href="/articles/cyclosporin-a-encephalopathy">Cyclosporin-A encephalopathy</a></li>
- +</ul>
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