Two Cases of Acute Cerebellitis

J Korean Neurol Assoc > Volume 17(3); 1999 > Article

Journal of the Korean Neurological Association 1999;17(3): 403-406.

급성 소뇌염 2례

남효석, 이경열, 정연경, 이병인* 김원찬 김원주 최영철** 정운교

연세대학교 의과대학 신경과학 교실 신촌세브란스 병원*, 영동세브란스 병원** 이비인후과학 교실

Two Cases of Acute Cerebellitis

Hyo Suk Nam, M.D., Kyung Yul Lee, M.D., Yeon Kyung Jung, M.D., Byung In Lee, M.D.* Won Chan Kim, M.D., Won-Joo Kim, M.D., Young Chul Choi, M.D.** Un Kyo Jung, M.D

Department of Neurology, College of Medicine,Yonsei University Shinchon-dong 134,Seodaemoon-ku, Seoul,120-757,Korea

Abstract

Acute cerebellitis occurrs in the absence of cerebral hemispheric involvement and is exceptionally rare. It is charac-terized by an acute onset of cerebellar dysfunction following a respiratory, gastrointesitnal infection or skin rash. However, almost all patients show good prognosis. We experienced two cases of acute cerebellitis in young adults. One patient was admitted due to gait ataxia and dysarthria. The immunological laboratory findings revealed an acute Ebstein Barr virus infection and an electronystagmogram showed a periodic alternating nystagmus. The other patient was admitted due to severe gait ataxia, with no identification of any organism. CSF examinations revealed elevated protein and brain magnetic resonance images showed cerebellar foliae enhancement bilaterally. Both patients recovered without any disabilities. J Kor Neurol Ass 17(3):403 ~ 406, 1999 Key Words : Cerebellitis, Epstein Barr virus, Periodic alternating nystagmus