Acute cerebellitis successfully managed with temporary cerebrospinal fluid diversion using a long tunnel external ventricular drain: A long-term radiological follow-up of two cases

Authors

Muhammad Waqas, Aga Khan UniversityFollow
Yousaf Bashir Hadi, Aga Khan University
Sadaf Sheikh, Aga Khan UniversityFollow
Muhammad Shahzad Shamim, Aga Khan UniversityFollow

Document Type

Report

Department

Neurosurgery; Emergency Medicine

Abstract

Acute cerebellitis (AC) is a rare inflammatory childhood disorder. Although there is no consensus on standard treatment for cerebellitis, its outcome is usually favourable. We report two cases of AC in the paediatric age group, successfully managed with long tunnel external ventricular drain (EVD). The first patient was an 8-year-old boy with a history of fever and headache. Sequential MRI showed diffuse cerebellar swelling with tonsillar herniation and resulting hydrocephalus. The second patient was a 6-month-old boy who presented with high-grade fever associated with chills. CT scan of the head showed triventricular hydrocephalus with obliteration of cerebrospinal fluid spaces and cisterns. Both patients underwent immediate emergency right-sided long tunnel EVD insertion. The EVD was removed on the 9th day in the first patient and the 10th day in the second patient; the patients showed no neurological deficits at a follow-up of 2 years and 1 year, respectively.

Comments

Issue and pagination are not provided by the author/publisher. The full-text is allowed by author (Author’s copy).

Publication (Name of Journal)

BMJ Case Reports

Recommended Citation

Waqas, M., Hadi, Y. B., Sheikh, S., Shamim, M. (2016). Acute cerebellitis successfully managed with temporary cerebrospinal fluid diversion using a long tunnel external ventricular drain: A long-term radiological follow-up of two cases. BMJ Case Reports, 2016, bcr2016215631.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_surg_neurosurg/220