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Acute cerebellitis with cerebellar swelling successfully treated with standard dexamethasone treatment
Uluç Yiş1, Semra Hiz Kurul, Handan Cakmakçi
1Department of Pediatrics Division of Child Neurology, Dokuz Eylül University School of Medicine, 35340 Izmir, Turkey. ulyis@yahoo.com
Abstract:
Although cerebellitis is common in childhood but cerebellitis with cerebellar swelling is rarely reported. Pulsed high dose methylprednisolone treatment is the choice of treatment for cases who have non-progressive symptoms. An 8-year-old girl presented acutely with vertigo, headache, and vomiting. Brain magnetic resonance imaging showed marked bilateral cerebellar swelling with increased signal on T2-weighted imaging. Following treatment with standard dexamethasone dose, the clinical and radiological signs resolved in 1 week. We conclude that standard dexamethasone treatment should be used in mild cases of acute cerebellitis in order to avoid adverse reactions of pulsed high dose methylprednisolone treatment.
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