[Acute cerebellitis caused by Epstein-Barr virus: case report].
Acute cerebellitis can occur in association with varicella-zoster virus, enterovirus, mumps, mycoplasma, and other infective organisms. Acute cerebellitis is a rare complication of Epstein-Barr virus (EBV) infection. We report the case of a 21-year-old woman with a 12-day history of nausea and vomiting, gait and limbs ataxia, myoclonus, tremor of head and all four limbs, opsoclonus and cutaneous rash. Anti-EBV IgG and IgM antibodies against antiviral capsid were positive and anti-EBV against virus-associated nuclear antigen was also positive. EBV infection in association with neurological findings can occur without the classic signs and symptoms of infectious mononucleosis.
Teive
H A
HA
Serviço de Neurologia, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brasil. hagteive@mps.com.br
Zavala
J A
JA
Iwamoto
F M
FM
Bertucci-Filho
D
D
Werneck
L C
LC
D000208:Acute Disease; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000914:Antibodies, Viral / Q000302:isolation & purification; D002526:Cerebellar Diseases / Q000188:drug therapy / Q000821:virology*; D003907:Dexamethasone / Q000627:therapeutic use; D018792:Encephalitis, Viral / Q000150:complications* / Q000188:drug therapy; D020031:Epstein-Barr Virus Infections / Q000150:complications* / Q000188:drug therapy; D005260:Female; D004854:Herpesvirus 4, Human / Q000276:immunology / Q000302:isolation & purification*; D006801:Humans
D000893:Anti-Inflammatory Agents; D000914:Antibodies, Viral; D003907:Dexamethasone