Case Report
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 16, 2017; 5(8): 340-343
Published online Aug 16, 2017. doi: 10.12998/wjcc.v5.i8.340
Pseudotumoral acute cerebellitis associated with mumps infection in a child
Houda Ajmi, Mehdi Gaha, Sameh Mabrouk, Saida Hassayoun, Noura Zouari, Jalel Chemli, Saoussen Abroug
Houda Ajmi, Sameh Mabrouk, Saida Hassayoun, Noura Zouari, Jalel Chemli, Saoussen Abroug, Pediatrics Department, Sahloul University Hospital, Sousse 4054, Tunisia
Mehdi Gaha, Radiology Department, Sahloul University Hospital, Sousse 4054, Tunisia
Author contributions: All authors contributed to this manuscript.
Institutional review board statement: This case report was exempt from the Institutional Review Board standards at Sahloul University Hospital Sousse Tunisia.
Informed consent statement: The parents of the patient involved in this study gave their written informed consent authorizing use and disclosure of her protected health information.
Conflict-of-interest statement: All the authors have no conflicts of interests to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Mehdi Gaha, Radiologist, Radiology Department, Sahloul University Hospital, Route de Ceinture, Sousse 4054, Tunisia. gahamehdi@rns.tn
Telephone: +216-73-369411 Fax: +216-73-367451
Received: December 22, 2016
Peer-review started: December 26, 2016
First decision: February 17, 2017
Revised: April 21, 2017
Accepted: May 12, 2017
Article in press: May 15, 2017
Published online: August 16, 2017
Abstract

Pseudotumoral cerebellitis in childhood is an uncommon presentation of cerebellitis mimicking a brain tumor. It often follows an inflammatory or infectious event, particularly due to varicella virus. Patients could have a wide clinical spectrum on presentation. Some patients may be asymptomatic or present at most with mild cerebellar signs, whereas others may suffer severe forms with brainstem involvement and severe intracranial hypertension mimicking tumor warranting surgical intervention. Imaging techniques especially multimodal magnetic resonance imaging represent an interesting tool to differentiate between posterior fossa tumors and acute cerebellitis. We describe a case of pseudotumoral cerebellitis in a 6-year-old girl consequent to mumps infection and review the literature on this rare association.

Keywords: Acute cerebellitis, Pseudotumoral cerebellitis, Posterior fossa tumor, Children, Mumps

Core tip: Pseudotumoral cerebellitis in childhood is an uncommon presentation of cerebellitis mimicking a brain tumor. It often follows an inflammatory or infectious event, particularly due to varicella virus. Patients could have a wide clinical spectrum on presentation. Imaging techniques especially multimodal magnetic resonance imaging represent an interesting tool to differentiate between posterior fossa tumors and acute cerebellitis. We describe a case of pseudotumoral cerebellitis in a 6-year-old girl consequent to mumps infection and review the literature on this rare association.