Acute hydrocephalus in a child with Mycoplasma cerebellitis
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Neti Gayatri1, Atul Tyagi, Usha Mahadevan
1Department of Paediatric Neurology, Leeds General Infirmary, Leeds, UK. neti.gayatri@leedsth.nhs.uk
Insights
Mycoplasma cerebellitis, a rare condition, can cause acute hydrocephalus in children, requiring surgical intervention. Early diagnosis and treatment are crucial for favorable long-term outcomes.
Area of Science:
- Neurology
- Pediatrics
- Infectious Diseases
Background:
- Mycoplasma cerebellitis is a rare neurological condition.
- Hydrocephalus is a potential complication requiring surgical intervention.
Observation:
- This is the first reported case of Mycoplasma cerebellitis in a child.
- A 6-year-old girl developed acute hydrocephalus secondary to Mycoplasma cerebellitis.
- Magnetic Resonance Imaging (MRI) is vital for diagnosing cerebellar swelling, as CT scans may be normal.
Findings:
- The patient required an emergency external ventricular drain due to acute hydrocephalus.
- Relapses of Mycoplasma cerebellitis can occur.
- Close monitoring for increased intracranial pressure is essential.
Implications:
- Early diagnosis and prompt treatment of Mycoplasma cerebellitis in children are critical.
- Investigations to identify the causative organism, including Mycoplasma, are indicated.
- Favorable long-term outcomes are achievable with timely intervention.
Abstract:
Mycoplasma cerebellitis though rare, may rapidly progress to hydrocephalus needing surgical intervention. It has not been reported so far in children. We report a 6 year old girl with mycoplasma cerebellitis which progressed to acute hydrocephalus needing an emergency external ventricular drain. Magnetic Resonance Imaging is essential in making the diagnosis of cerebellar swelling as CT scan may be normal. Relapses can occur as in our case. Close monitoring for raised intracranial pressure and investigations to identify the organism including mycoplasma are indicated in all cases. Long-term outcome appears to be favorable if diagnosed and treated early.
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