Acute near-fatal parainfectious cerebellar swelling with favourable outcome

Neuropediatrics. 1997 Apr;28(2):122-5. doi: 10.1055/s-2007-973685.


The clinical course, neuro-imaging features and neuropathologic findings in a child with para-infectious acute cerebellar swelling are described. Reversible transtentorial and transforaminal herniations occurred and required emergency posterior fossa decompression with external ventricular drainage. Neuropathologic examination of a cerebellar biopsy demonstrated a subacute pathogen-free cerebellitis. Following neurosurgical intervention and steroid therapy, symptoms and signs resolved and the patient is well 3 years later. Acute para-infectious cerebellar swelling is potentially fatal unless recognised and treated early in its evolution.

Publication types

  • Case Reports

MeSH terms

  • Cerebellar Diseases / etiology*
  • Cerebellar Diseases / pathology
  • Cerebellar Diseases / therapy
  • Child, Preschool
  • Drainage
  • Encephalitis / etiology*
  • Encephalitis / pathology
  • Encephalitis / therapy
  • Encephalitis, Viral / etiology
  • Encephalitis, Viral / pathology
  • Humans
  • Male