17 January 2021
: Case report 
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 Alomani1ADEF*, Muhammad Arshad2EF, Mahmoud Elzonfly2B, Ali Ahmad Aldakhil2B, Abdullah H. Alharbi3BD, Abdulrahman Alasqah4BE, Bandar Rashed Alfheed5CD, Hesham Aldhalan6AEFDOI: 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 |