From: Acute cerebellitis in children: an eleven year retrospective multicentric study in Italy
Case | CSF | Radiology | EEG | Therapy | Outcome |
---|---|---|---|---|---|
1 | Cells 49/mmc, Protein 528Â mg/l | RM: Cerebellar leptomeningeal enhancement; CT: area of bilateral cerebellar hypodensity | normal | Aciclovir iv 9Â days + 2Â weeks Methylprednisolone ev 3Â days, then prednisone 1Â month IVIg 1Â day | Speech disturbances |
2 | Cells 105/mmc | RM: Cerebellar leptomeningeal enhancement; CT: mild cerebellar edema | Abnormal: diffuse slow activity | Aciclovir iv 14Â days Dexamethasone iv 14Â days | Ataxia |
3 | Normal | MRI: abnormal TR signal of cerebellar bulbus and pedunculus | Abnormal: diffuse slow activity | Aciclovir iv 5Â days + per os 7Â days Dexamethasone iv 4Â days + prednisone po 9Â days | No sequelae |
4 | Normal | MRI: Cerebellar leptomeningeal enhancement; | Abnormal: diffuse slow activity | Aciclovir iv 7Â days | No sequelae |
5 | Not done | MRI: mild hyperintensity of cerebellar pedunculus | Not done | Aciclovir iv 5Â days | No sequelae |
6 | Normal | MRI: hyperintensity of cerebellar white matter | Not done | Prednisone po, 20Â days | No sequelae |