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Chronic Cerebellar Meningoencephalitis in Adulthood: A Report of a Rare Case

Vladislav Velchev1, Stefan Burev2, Dimo Yankov2

  • 1Faculty of Medicine, Medical University of Plovdiv, Plovdiv, BGR.

Cureus
|June 7, 2024
PubMed

Insights

This report details a rare case of cerebellar meningoencephalitis in an adult. Surgical excision, biopsy, and antibiotics effectively treated the chronic infection, relieving symptoms.

Area of Science:

  • Neurology
  • Neurosurgery
  • Infectious Diseases

Background:

  • Meningoencephalitis, inflammation of the brain and meninges, can lead to neurological deficits.
  • Cerebellar meningoencephalitis in adults is exceptionally rare, necessitating specialized diagnostic strategies.

Observation:

  • A 45-year-old male presented with a month-long severe headache and signs of intracranial hypertension.
  • Magnetic resonance tomography revealed hyperintense lesions with homogenous enhancement in the right cerebellar hemisphere.

Findings:

  • Surgical excision and pathohistological examination confirmed a chronic infection causing meningoencephalitis in the cerebellum.
  • Postoperative treatment with cephalothin for 14 days resulted in symptom resolution.

Implications:

  • This case highlights that meningoencephalitis can occur in the cerebellum of adults.
  • Surgical intervention, biopsy, and antibiotic therapy represent effective management options for this rare condition.
Keywords:
cerebellitismeningoencephalitisneurosurgerysuboccipital craniotomysurgical case report

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