title: Acute cerebellitis with cerebellar swelling successfully treated with standard dexamethasone treatment.
abstract: Although cerebellitis is common in childhood but cerebellitis with cerebellar swelling is rarely reported. Pulsed high dose methylprednisolone treatment is the choice of treatment for cases who have non-progressive symptoms. An 8-year-old girl presented acutely with vertigo, headache, and vomiting. Brain magnetic resonance imaging showed marked bilateral cerebellar swelling with increased signal on T2-weighted imaging. Following treatment with standard dexamethasone dose, the clinical and radiological signs resolved in 1 week. We conclude that standard dexamethasone treatment should be used in mild cases of acute cerebellitis in order to avoid adverse reactions of pulsed high dose methylprednisolone treatment.
authors.affiliation: Department of Pediatrics Division of Child Neurology, Dokuz Eylül University School of Medicine, 35340 Izmir, Turkey. ulyis@yahoo.com
authors.forename: Uluç
authors.initials: U
authors.lastname: Yiş
authors.forename: Semra Hiz
authors.initials: SH
authors.lastname: Kurul
authors.forename: Handan
authors.initials: H
authors.lastname: Cakmakçi
authors.forename: Eray
authors.initials: E
authors.lastname: Dirik
mesh_terms: D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002526:Cerebellar Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000473:pathology; D002531:Cerebellum / Q000000981:diagnostic imaging / Q000187:drug effects / Q000473:pathology; D002648:Child; D003907:Dexamethasone / Q000627:therapeutic use*; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D007249:Inflammation / Q000188:drug therapy*; D008279:Magnetic Resonance Imaging; D011859:Radiography; D014717:Vertigo / Q000209:etiology; D014839:Vomiting / Q000209:etiology
chemical_list: D000893:Anti-Inflammatory Agents; D003907:Dexamethasone