[A 4-year-old girl with diarrhoea, paresis and mutism].
BACKGROUND Rotavirus is a common cause of gastroenteritis in children. Neurological manifestations associated with rotavirus infections are well described and range from benign afebrile convulsions to lethal encephalopathy or encephalitis.CASE PRESENTATION We present an uncommon neurological manifestation in a Caucasian child in the course of a rotavirus infection. A 4-year old girl presented with mutism, hypotonia and reduced consciousness. Magnetic resonance imaging revealed diffusion abnormalities in the splenium corpus callosum and bilaterally in the nuclei dentate in the cerebellum. She was diagnosed with rotavirus cerebellitis.INTERPRETATION Her clinical symptoms and the magnetic resonance imaging abnormalities were uncommon and previously described in only a few Caucasian children. The outcome has varied, and some children have shown long term neurological sequela. Treatment with immunoglobulins and corticosteroids has been used in similar cases, but there is no established treatment for this condition.
Barneklinikken Haukeland universitetssykehus.
Mette
M
Engan
Seksjon for barn Radiologisk avdeling Haukeland universitetssykehus.
John Asle
JA
Bjørlykke
Seksjon for nevroradiologi Radiologisk avdeling Haukeland universitetssykehus.
Gunnar
G
Moen
Mikrobiologisk avdeling Haukeland universitetssjukehus.
Kjetil Børve
KB
Lund
Mikrobiologisk avdeling Haukeland universitetssykehus.
Gro
G
Njølstad
D002526:Cerebellar Diseases / Q000188:drug therapy / Q000821:virology*; D002675:Child, Preschool; D003967:Diarrhea / Q000821:virology; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D006801:Humans; D009155:Mutism / Q000821:virology; D010291:Paresis / Q000821:virology; D012401:Rotavirus / Q000302:isolation & purification; D012400:Rotavirus Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy