Acute cerebellitis with cerebellar swelling successfully treated with standard dexamethasone treatment.
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.
Yiş
Uluç
U
Department of Pediatrics Division of Child Neurology, Dokuz Eylül University School of Medicine, 35340 Izmir, Turkey. ulyis@yahoo.com
Kurul
Semra Hiz
SH
Cakmakçi
Handan
H
Dirik
Eray
E
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
D000893:Anti-Inflammatory Agents; D003907:Dexamethasone