Acute cerebellitis

Case contributed by Ashesh Ishwarlal Ranchod
Diagnosis certain

Presentation

Acute onset of dysarthria, nystagmus, truncal ataxia, tremor, headache and fever.

Patient Data

Age: 7 years
Gender: Female
mri
This study is a stack
Axial
T1
This study is a stack
Axial T2
fat sat
This study is a stack
Axial
FLAIR
This study is a stack
Axial
DWI
This study is a stack
ADC
This study is a stack
Axial
SWI
This study is a stack
Axial
SWI
This study is a stack
Axial
T1 C+
This study is a stack
Axial
T1 C+
This study is a stack
Coronal T2
fat sat
This study is a stack
Coronal
FLAIR
This study is a stack
Coronal
T1
This study is a stack
Coronal
T1 C+
This study is a stack
Sagittal
T1
This study is a stack
Sagittal
T1 C+
Show annotations
Download
Info

There is multifocal cerebellar cortical and vermian signal alteration:

There is normal supratentorial imaging.

CSF analysis

pathology
Download
Info

A lumbar puncture revealed a pleocytosis (lymphocytes and leucocytes) suggesting meningoencephalitis. Unfortunately, no specific organism was found or cultured on CSF or serum.

There is evidence of a past EBV infection, however, negative EBV PCR testing confirmed an absence of EBV reactivation.

Case Discussion

An example of acute paediatric cerebellitis. The CSF analysis suggested meningoencephalitis however the exact infectious organism/s were not identified. The initial work-up for auto-immune aetiology is also negative. The child was treated with broad-spectrum intravenous antibiotics and anti-viral therapy and improved significantly after 10 days of treatment.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.