Cerebellitis with Mass Effect: A-Not-So-Everyday Problem for the Neurointensivist

NCJ_cover.jpgBy Lauren Jackson, Edison Cano Cevallos, Eelco Wijdicks

First Online: 01 August 2019

A 25-year-old woman had otherwise been in normal health until approximately 1 week earlier, when she presented to her primary care provider with a 2-day history of painful mouth ulcers, sore throat, and watery diarrhea. She denied any fever or upper respiratory symptoms, such as cough or rhinorrhea, at that time. She denied any other rashes. She had reported that her nephew had been diagnosed with hand–foot–mouth disease earlier that month; otherwise, she denied any sick contacts. She was treated conservatively by her physician.

Approximately 7 days after initial symptoms, she developed an acute progressive holocephalic headache, accompanied by nausea and vomiting, and progressed to full-body myalgias. She presented to the emergency department several times for the above symptoms and ultimately underwent a computed tomography (CT) scan without contrast of the brain, which was negative for any abnormalities. Her headache persisted, and she was admitted to the outside...

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