Acute cerebellitis
From IDWiki
Background
- Inflammation of the cerebellum
- Most cases are described in children
Etiologies
- Mostly idiopathic
- Medications, including isoniazid (causing pyridoxine defieciency) and cytarabine
- Paraneoplastic, including Castleman syndrome and Hodgkin lymphoma
- Infectious
- Primary infections, including West Nile virus, Mycoplasma pneumoniae, influenza, HSV, EBV, VZV, mumps, Lyme disease, rubella, Q fever, scrub typhus, Cryptococcus, Salmonella
- Post-infectious complication of repiratory tract infection
Clinical Manifestations
- Acute onset of ataxia, headache, and nausea/vomiting
- Often have fever and dysarthria
- Sometimes have nystagmus, vertigo, meningismus, altered mental status
- Some experts exclude other CNS infections such as meningitis, encephalitis, or ADEM
- MRI may also show hydrocephalus
Further Reading
- Acute cerebellitis in adults: a case report and review of the literature. BMC Res Notes 10, 610 (2017). doi: 10.1186/s13104-017-2935-8
