Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions


Answer 1
  1. Acute postinfectious cerebellitis. When following a viral infection by 10 to 14 days, onset of cerebellar symptoms (maximal within a few hours) is typical of acute postinfectious cerebellitis.1,2 In this condition, the sensorium should remain clear. MRI of the brain may show increased T2 intensities in the cerebellum. Improvement should begin within a few days of onset, and gait should normalize within 1 to 5 months. The rapidity of symptom onset distinguishes this condition from medulloblastoma and FRDA. This child’s preserved reflexes and absence of ophthalmoplegia distinguish this condition from the Miller Fisher variant of Guillain-Barré syndrome. Multiple sclerosis involves recurrent attacks with evidence of central demyelination and would not be diagnosed with a first episode.

     Fenichel GM. Clinical pediatric neurology: a signs and symptoms approach. Philadelphia: WB Saunders; 1997.

    2. Montenegro MA, Santos SL, Li LM, Cendes F. Neuroimaging of acute cerebellitis. J Neuroimaging 2002;12:72-4.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj