Table 2.

Differential diagnosis table for unilateral lesion with tiger stripe appearance in cerebellar hemisphere

	Etiology	Medical management and prognosis	MRI-T2 findings
Lhermitte-Duclos disease	Primary hamartomatous tumor	Observation if patient is asymptomatic; slow-growing tumor with no malignant transformation	“Tiger stripes” appearance of alternating hyper- and hypo-intense striations
Nodular medulloblastoma	Primary neuroectodermal tumor	Urgent total surgical resection, followed by chemotherapy and radiotherapy	Cortical hyperintensity ± necrosis, cyst formation, and calcifications with surrounding edema
Pseudotumoral hemicerebellitis	Inflammatory process secondary to infection	Observation if patient is asymptomatic; self-resolving inflammatory process	Cortical hyperintensity ± cerebellar edema