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An Adult Case of Acute EBV Cerebellitis

Katya Muscat1, Ruth Galea2, Malcolm Vella2

  • 1Department of Medicine, Mater Dei Hospital, Msida, Malta.

European Journal of Case Reports in Internal Medicine
|February 14, 2019
PubMed

Insights

Acute cerebellar syndrome in adults, though rare, can be caused by Epstein-Barr virus (infectious mononucleosis). This case highlights that supportive care may suffice for recovery in adults with this neurological manifestation.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Virology

Background:

  • Acute neurological manifestations of infectious mononucleosis are rare, particularly in adults.
  • Epstein-Barr virus (EBV) infection, the cause of infectious mononucleosis, can present with diverse clinical features.

Purpose of the Study:

  • To report a case of acute cerebellitis in an adult caused by Epstein-Barr virus.
  • To emphasize the importance of considering infectious etiologies for acute cerebellar syndromes in adults.

Main Methods:

  • Case report of an adult diagnosed with acute Epstein-Barr virus cerebellitis.
  • Clinical observation of symptom progression and response to treatment.

Main Results:

  • The patient experienced spontaneous resolution of symptoms and signs within two weeks of supportive treatment.
  • Cerebellar signs were the primary manifestation of the Epstein-Barr virus infection.

Conclusions:

  • A high index of suspicion for EBV infection is warranted in adults presenting with febrile illness and cerebellar signs.
  • Acute cerebellar syndrome can be an isolated presentation of Epstein-Barr virus infection in adults.
  • Conservative management may be adequate for mild to moderate cases of EBV-associated cerebellitis.
Keywords:
Epstein-Barr viruscerebellitisinfectious mononucleosis

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