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The role of posterior fossa decompression in acute cerebellitis

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Abstract

Background

We present two cases of children who were diagnosed with cerebellitis with acute cerebellar swelling. This rare pathology is potentially fatal, and no clear treatment guidelines are described in the literature.

Discussion

Considering our experience, we discuss the different therapeutic strategies and propose aggressive surgical measures consisting of external ventricular drainage and posterior fossa decompression in case of failure of early response to medical treatment to limit secondary cerebellar and brainstem lesions.

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References

  1. Bakshi R, Bates VE, Kinkel PR, Mechtler LL, Kinkel WR (1998) Magnetic resonance imaging findings in acute cerebellitis. Clin Imaging 22:79–85

    Article  CAS  PubMed  Google Scholar 

  2. Montenegro MA, Santos SL, Li LM, Cendes F (2002) Neuroimaging of acute cerebellitis. J Neuroimaging 12(1):72–74

    Article  PubMed  Google Scholar 

  3. de Fraiture DMI, Sie TH, Boezeman EHJF, Haanen HCM (1997) Cerebellitis as a uncommon complication of infectious mononucleosis. Neth J Med 51:79–82

    Article  PubMed  Google Scholar 

  4. Hamada H, Kurimoto M, Masuoka T, Hirashima Y, Endo S, Harada J (2001) A case of surgically treated acute cerebellitis with hydrocephalus. Childs Nerv Syst 17:500–502

    Article  CAS  PubMed  Google Scholar 

  5. Drost G, Verrips A, Thijssen HO, Gabreels (2000) Cerebellar involvement as a rare complication of pneumococcal meningitis. Neuropediatrics 31(2):97–99

    Article  CAS  PubMed  Google Scholar 

  6. Majda-Stanislawska E (2000) Mumps cerebellitis. Eur Neurol 43(2):117

    Article  CAS  PubMed  Google Scholar 

  7. Mario-Ubaldo M (1995) Cerebellitis associated with Lyme disease. Lancet 345(8956):1060

    Article  CAS  Google Scholar 

  8. Aylett SE, O’Neill KS, De Sousa C, Britton J (1998) Cerebellitis presenting as acute hydrocephalus. Childs Nerv Syst 14:139–141

    Article  CAS  PubMed  Google Scholar 

  9. Gohlich-Ratmann G, Wallot M, Baethmann M, Schaper J, Roggendorf M, Roll C et al (1998) Acute cerebellitis with near-fatal cerebellar swelling and benign outcome under conservative treatment with high dose steroids. Eur J Paediatr Neurol 2(3):157–162

    Article  CAS  PubMed  Google Scholar 

  10. Horowitz MB, Pang D, Hirsch W (1991) Acute cerebellitis: case report and review. Pediatr Neurosurg 17(3):142–145

    PubMed  Google Scholar 

  11. Asenbauer B, McConachie NS, Allcutt D, Farrell MA, King MD (1997) Acute near-fatal parainfectious cerebellar swelling with favourable outcome. Neuropediatrics 28(2):122–125

    CAS  PubMed  Google Scholar 

  12. Roulet Perez E, Maeder P, Cotting J, Eskenazy-Cottier AC, Deonna T (1993) Acute fatal parainfectious cerebellar swelling in two children. A rare or an overlooked situation? Neuropediatrics 24(6):346–351

    CAS  PubMed  Google Scholar 

  13. Levy EI, Harris AE, Omalu BI, Hamilton RL, Branstetter BF, Pollack IF (2001) Sudden death from fulminant acute cerebellitis. Pediatr Neurosurg 35(1):24–28

    Article  CAS  PubMed  Google Scholar 

  14. Hayakawa H, Katoh T (1995) Severe cerebellar atrophy following acute cerebellitis. Pediatr Neurol 12:159–161

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Département de Neurochirurgie, CHUV, Rue du Bugnon, 1011, Lausanne, Switzerland

    S. de Ribaupierre, J. G. Villemure, F. Porchet & J. Bloch

  2. Pathology Department, CHUV, Lausanne, Switzerland

    K. Meagher-Villemure

  3. Pediatric Intensive Care Unit, CHUV, Lausanne, Switzerland

    J. Cotting

  4. Pediatric Neurology Department, CHUV, Lausanne, Switzerland

    P. Y. Jeannet & E. Roulet

Authors
  1. S. de Ribaupierre
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  2. K. Meagher-Villemure
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  3. J. G. Villemure
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  4. J. Cotting
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  5. P. Y. Jeannet
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  6. F. Porchet
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  7. E. Roulet
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  8. J. Bloch
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Corresponding author

Correspondence to S. de Ribaupierre.

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de Ribaupierre, S., Meagher-Villemure, K., Villemure, J.G. et al. The role of posterior fossa decompression in acute cerebellitis. Childs Nerv Syst 21, 970–974 (2005). https://doi.org/10.1007/s00381-005-1176-7

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  • DOI: https://doi.org/10.1007/s00381-005-1176-7

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