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Table 4 CSF, neuroimaging, EEG findings, management and outcome of the 6 children with AC

From: Acute cerebellitis in children: an eleven year retrospective multicentric study in Italy

Case

CSF

Radiology

EEG

Therapy

Outcome

1

Cells 49/mmc, Protein 528 mg/l

RM: Cerebellar leptomeningeal enhancement; CT: area of bilateral cerebellar hypodensity

normal

Aciclovir iv 9 days + 2 weeks

Methylprednisolone ev 3 days, then prednisone 1 month

IVIg 1 day

Speech disturbances

2

Cells 105/mmc

RM: Cerebellar leptomeningeal enhancement; CT: mild cerebellar edema

Abnormal: diffuse slow activity

Aciclovir iv 14 days

Dexamethasone iv 14 days

Ataxia

3

Normal

MRI: abnormal TR signal of cerebellar bulbus and pedunculus

Abnormal: diffuse slow activity

Aciclovir iv 5 days + per os 7 days

Dexamethasone iv 4 days + prednisone po 9 days

No sequelae

4

Normal

MRI: Cerebellar leptomeningeal enhancement;

Abnormal: diffuse slow activity

Aciclovir iv 7 days

No sequelae

5

Not done

MRI: mild hyperintensity of cerebellar pedunculus

Not done

Aciclovir iv 5 days

No sequelae

6

Normal

MRI: hyperintensity of cerebellar white matter

Not done

Prednisone po, 20 days

No sequelae