Acute Cerebellitis Following COVID-19: Alarming Clinical Presentation Challenged by Normal Paraclinical Findings

Infect Dis Ther. 2024 Nov;13(11):2449-2453. doi: 10.1007/s40121-024-01048-4. Epub 2024 Sep 24.

Abstract

We report the case of an acute cerebellitis following COVID-19 in 32-year-old man who presented with a life-threatening critical cerebellar syndrome contrasting with normal paraclinical findings. Despite this fulminant critical presentation, the patient fully recovered in 37 days after early treatment with high-dose steroids and intravenous immunoglobulins. This case highlights the need for clinicians to be aware of acute cerebellitis following COVID-19, despite normal laboratory, imaging and electroencephalography findings and the importance to start appropriate treatment as soon as possible.

Keywords: Acute cerebellitis; Ataxia; COVID-19; Cerebellitis; Immune-mediated.