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Acute cerebellitis

Case contributed by Dr Ammar Haouimi ◉

Diagnosis almost certain

Diagnosis almost certain

Presentation

Headaches, fever, and cerebellar ataxia with an abnormal EEG.

Patient Data

Age: 6 years

Gender: Male

From the case: Acute cerebellitis

MRI

Brain

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Sagittal T1

The MRI sequences demonstrate areas of cortical hyperintensity on FLAIR, and T2WI involving the cerebellar hemispheres, and vermis with restricted diffusion on DWI/ADC (due to cytotoxic edema). The postcontrast sequences show a leptomeningeal enhancement along the surface of the cerebellar hemispheres well-visualized on both postcontrast T1, and FLAIR.

Case Discussion

The clinical presentation and MRI features are most consistent with an acute cerebellitis.

Additional contributor: R. Bouguelaa, MD

2 public playlist includes this case

Neuro
CNS

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