An Adult Case of Acute EBV Cerebellitis
KeywordsEpstein-Barr virus, infectious mononucleosis, cerebellitis
Acute neurological manifestations of infectious mononucleosis are uncommon and have been predominantly reported in the paediatric population. We report a case of acute Epstein-Barr virus cerebellitis in an adult in whom spontaneous resolution of symptoms and signs occurred after 2 weeks of supportive treatment. An infective cause for an acute cerebellar syndrome in an adult must always be considered in the differential diagnosis when appropriate.
Todd PK. Overview of cerebellar ataxia in adults. UptoDate. Available from: https://www.uptodate.com/contents/overview-of-cerebellar-ataxia-in-adults (updated 6 May 2016).
Ciardi M, Giacchetti G, Fedele CJ, Tenorio A, Brandi A, Libertone R, et al. Acute cerebellitis caused by herpes simplex virus type 1. Clin Infect Dis 2003;36:50–54.
Desai J, Mitchell WG. Acute cerebellar ataxia, acute cerebellitis, and opsoclonus-myoclonus syndrome. J Child Neurol 2012;27:1482–1488.
Van Lierde A, Righini A, Tremolati E. Acute cerebellitis with tonsillar herniation and hydrocephalus in Epstein-Barr virus infection. Eur J Pediatr 2004;163:689–691.
Jenson HB. Acute complications of Epstein-Barr virus infectious mononucleosis. Curr Opin Paediatr 2000;12:263–268.
Kashikar SV, Lakhkar B, Pandey A, Gupta A. Catastrophic cerebellitis in an adolescent: a case report. Oman Med J 2014;29(4).
Daaboul Y, Vern BA, Blend MJ. Brain SPECT imaging and treatment with IVIg in acute post-infectious cerebellar ataxia: case report. Neurol Res 1998;20;85–88.
Issue: Vol. 4 No. 1 (view)