17 January 2021>: Articles
Pediatric Fulminant Cerebellitis Is Still a Fatal Disease that We Know Little About! Two Case Reports and a Literature Review
Unusual clinical course, Challenging differential diagnosis, Rare disease
Hakem Alomani A* , Muhammad Arshad E , Mahmoud Elzonfly B , Ali Ahmad Aldakhil B , Abdullah H. Alharbi B , Abdulrahman Alasqah B , Bandar Rashed Alfheed C , Hesham Aldhalaan ADOI: 10.12659/AJCR.928370
Am J Case Rep 2021; 22:e928370
Table 2. Summary and finding of our cases of fulminant cerebellitis (total 2 cases).
Item | Case 1 | Case 2 |
---|---|---|
Nationality | Saudi | Saudi |
Age | 13 | 14 |
Gender | Boy | Girl |
Presenting symptoms | HeadacheNo VomitingNo Gait disordersNo fever | HeadacheFeverNo VomitingNo Gait disorders |
Neurological findings | NormalNo papilledema | Normal apart of mild Papilledema |
CSF study | Unremarkable | Unremarkable |
Brain image finding (MRI) | Dilated supratentorial ventricular system.Swelling of both cerebellar hemispheres.Cerebellar tonsillar herniation | Dilated supratentorial ventricular system.Swelling of both cerebellar hemispheres.Cerebellar tonsillar herniation |
Medical intervention | AntibioticAntiviralNo IVIGNo steroid | AntibioticAntiviralIVIGSteroid |
Surgical intervention | EVD | VP shunt |
outcome | Died | SurvivedDischarged home as a healthy child apart from slurred speech |
Remarks | No expert to do decompressive craniotomy in our region (referred to higher centers but acceptance declined) | IVIG and steroid added after expert consultation thru telemedicine |