Acute Near-Fatal Parainfectious Cerebellar Swelling with Favourable Outcome

B. Asenbauer; N. S. McConachie; D. Allcutt; M. A. Farrell; M. D. King

doi:10.1055/s-2007-973685

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Neuropediatrics 1997; 28(2): 122-125
DOI: 10.1055/s-2007-973685

Short communications

Acute Near-Fatal Parainfectious Cerebellar Swelling with Favourable Outcome

B. Asenbauer¹ , N. S. McConachie² , D. Allcutt³ , M. A. Farrell⁴ , M. D. King¹

¹Department of Paediatric Neurology, The Children's Hospital, Temple Street, Dublin 1,
²Departments of Neuroradiology, Beaumont Hospital, Dublin 9, Ireland
³Neurosurgery Beaumont Hospital, Dublin 9, Ireland
⁴Neuropathology, Beaumont Hospital, Dublin 9, Ireland

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Publication History

Publication Date:
13 March 2007 (online)

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Abstract

The clinical course, neuro-imaging features and neuropathologic findings in a child with para-infectious acute cerebellar swelling are described. Reversible transtentorial and transforaminal herniations occurred and required emergency posterior fossa decompression with external ventricular drainage. Neuropathologic examination of a cerebellar biopsy demonstrated a subacute pathogen-free cerebellitis.

Following neurosurgical intervention and steroid therapy, symptoms and signs resolved and the patient is well 3 years later. Acute para-infectious cerebellar swelling is potentially fatal unless recognised and treated early in its evolution.

Key words

Cerebellitis - Parainfectious herniation

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