Abstract

Acute cerebellitis is a rare diagnosis found mostly in the pediatric population. The etiology, in most instances, is unknown. We describe the case of a 61-year-old woman who presented with acute mental status changes, signs of cerebellar dysfunction, and MRI findings of acute cerebellitis. A brief review of the existing literature and comparison of our case with previous reports are also presented.

Highlights

  • Acute cerebellitis (AC) is a rare inflammatory syndrome characterized by rapid onset of cerebellar dysfunction, usually without an obvious etiology

  • It is often used with the term “acute cerebellar ataxia” which is appropriately described as syndrome of cerebellar dysfunction; there exists some overlap due to unclear mechanisms of underlying pathophysiology [1]

  • We describe the case of a 61-yearold woman who presented with acute mental status changes, signs of cerebellar dysfunction, and MRI findings of AC

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Summary

Introduction

Acute cerebellitis (AC) is a rare inflammatory syndrome characterized by rapid onset of cerebellar dysfunction, usually without an obvious etiology. It is often used with the term “acute cerebellar ataxia” which is appropriately described as syndrome of cerebellar dysfunction; there exists some overlap due to unclear mechanisms of underlying pathophysiology [1]. There has been a debate about its progression, since both a benign and a fulminant course have been described in previously reported cases. Complications such as tonsillar herniation, hydrocephalus, and severe cerebellar atrophy can occur. We describe the case of a 61-yearold woman who presented with acute mental status changes, signs of cerebellar dysfunction, and MRI findings of AC

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