Post -infectious acute cerebelitis in young patient
Keywords:
headache, ataxia, Epstein-Barr virus infection, cerebellar diseases
Abstract
The case of a 20-year-old male with a history of treated pulmonary tuberculosis is presented, who had headache, dizziness, and ataxia. Imaging studies and lumbar puncture were normal but among the serological studies, IgM antibody against Epstein-Barr viruses was positive, suggesting postinfectious cerebelitis. Bacterial infections were ruled out and the patient was treated with intravenous methylprednisolone, improving rapidly. He was discharged in stable condition with neurological follow-up.
References
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2. Peuchmaur M, Voisin J, Vaillant M, Truffot A, Lupo J, Morand P, et al. Epstein-Barr virus encephalitis: A review of case reports from the last 25 years. Microorganisms [Internet]. 2023 [cited 2024 Oct 25];11(12): 2825. Available from: https://pubmed.ncbi.nlm.nih.gov/38137968/. doi: 10.3390/microorganisms11122825
3. Cho TA, Schmahmann JD, Cunnane ME. Case records of the Massachusetts General Hospital. Case 30-2013. A 19-year-old man with otalgia, slurred speech, and ataxia. N Engl J. 2013; 369(13):1253–61
4. Ministerio de Salud Pública y Bienestar Social. Dirección General de Vigilancia de la Salud. Síndromes neurológicos, con probable asociación a Zika. Boletín epidemiológico semanal [Internet]. 2022 [citado 26 Oct 2024]; (37):14. Disponible en: https://dgvs.mspbs.gov.py/files/boletines/SE38_2022_Boletin.pdf
5. Teive HAG, Zavala JAA, Iwamoto FM, Bertucci-Filho D, Werneck LC. Cerebelite aguda causada por vírus Epstein-Barr: relato de caso. Arq. Neuro-Psiquiatr [Internet]. 2001 [citado 26 Oct 2024 ]; 59 (3A): 616-8. Disponible en: https://www.scielo.br/j/anp/a/9kjRRmbbKkmvg8G9JKwpFdS/
6. Ravi V, Rozen TD. Acute cerebellitis: MRI findings. Neurology. 2000; 54(1):213. doi: https://doi.org/10.1212/WNL.54.1.213
