Postinfectious coronavirus disease 2019 hemorrhagic cerebellitis: illustrative case.
COVID-19
SARS-CoV-2
pseudotumor hemorrhagic cerebellitis
Journal
Journal of neurosurgery. Case lessons
ISSN: 2694-1902
Titre abrégé: J Neurosurg Case Lessons
Pays: United States
ID NLM: 9918227275606676
Informations de publication
Date de publication:
05 Sep 2022
05 Sep 2022
Historique:
received:
17
05
2022
accepted:
28
06
2022
entrez:
9
9
2022
pubmed:
10
9
2022
medline:
10
9
2022
Statut:
epublish
Résumé
Conditions that can mimic posterior fossa tumors are rare. Their identification is crucial to avoid unnecessary surgical intervention, especially when prompt initiation of medical therapy is critical. The authors presented a case of pseudotumoral hemorrhagic cerebellitis in a 3-year-old boy who presented initially with headache, persistent vomiting, and decreased level of consciousness 9 weeks after severe acute respiratory syndrome coronavirus 2 infection. Magnetic resonance imaging showed a left cerebellar hemorrhagic mass-like lesion with edema and mild hydrocephalus. The patient responded to high-dose steroids and was discharged 2 weeks later with complete recovery. When evaluating patients with possible tumor syndromes, it is important to also consider rarer inflammatory syndromes that can masquerade as neoplasms. Postinfectious hemorrhagic cerebellitis is one such syndrome.
Sections du résumé
BACKGROUND
BACKGROUND
Conditions that can mimic posterior fossa tumors are rare. Their identification is crucial to avoid unnecessary surgical intervention, especially when prompt initiation of medical therapy is critical.
OBSERVATIONS
METHODS
The authors presented a case of pseudotumoral hemorrhagic cerebellitis in a 3-year-old boy who presented initially with headache, persistent vomiting, and decreased level of consciousness 9 weeks after severe acute respiratory syndrome coronavirus 2 infection. Magnetic resonance imaging showed a left cerebellar hemorrhagic mass-like lesion with edema and mild hydrocephalus. The patient responded to high-dose steroids and was discharged 2 weeks later with complete recovery.
LESSONS
CONCLUSIONS
When evaluating patients with possible tumor syndromes, it is important to also consider rarer inflammatory syndromes that can masquerade as neoplasms. Postinfectious hemorrhagic cerebellitis is one such syndrome.
Identifiants
pubmed: 36083772
doi: 10.3171/CASE22219
pii: CASE22219
pmc: PMC9451054
doi:
pii:
Types de publication
Journal Article
Langues
eng
Références
J Med Virol. 2021 Dec;93(12):6818-6821
pubmed: 34314031
Childs Nerv Syst. 2020 Aug;36(8):1579-1580
pubmed: 32583150
BMJ Case Rep. 2016 May 10;2016:
pubmed: 27166004
Cureus. 2021 Apr 1;13(4):e14236
pubmed: 33948421
Childs Nerv Syst. 2021 Jun;37(6):2105-2113
pubmed: 33219391
Childs Nerv Syst. 2007 Jul;23(7):799-805
pubmed: 17279429
J Comput Assist Tomogr. 2005 Sep-Oct;29(5):689-93
pubmed: 16163044
J AAPOS. 2015 Feb;19(1):87-9
pubmed: 25727599
Eur J Paediatr Neurol. 2014 May;18(3):273-81
pubmed: 24423631
Pediatr Neurol. 2021 Aug;121:1-2
pubmed: 34111618
Neurologist. 2011 Mar;17(2):114-6
pubmed: 21364369
J Neurosurg. 2008 Feb;108(2):223-6
pubmed: 18240915
Ann Neurol. 1994 Jun;35(6):673-9
pubmed: 8210223
Eur Radiol. 2004 Aug;14(8):1478-83
pubmed: 14968261
Childs Nerv Syst. 2003 Feb;19(2):122-5
pubmed: 12607033
J Emerg Med. 2021 Jan;60(1):73-76
pubmed: 33208227
Pediatr Neurol. 2021 Jun;119:45-47
pubmed: 33894640
Neurosci Lett. 2021 Jan 19;743:135567
pubmed: 33352286
Childs Nerv Syst. 1995 Feb;11(2):118-20
pubmed: 7758011
Transl Psychiatry. 2021 Sep 30;11(1):499
pubmed: 34593760
J Coll Physicians Surg Pak. 2014 May;24 Suppl 2:S127-8
pubmed: 24906265
Clin Neurol Neurosurg. 2018 Oct;173:118-119
pubmed: 30121019
Infection. 2018 Dec;46(6):885-889
pubmed: 30288678
Int J Stroke. 2021 Feb;16(2):137-149
pubmed: 33103610
J Pediatr Neurosci. 2012 Jan;7(1):49-51
pubmed: 22837780
J Child Neurol. 2020 May;35(6):380-388
pubmed: 32160830
World J Pediatr. 2021 Apr;17(2):141-151
pubmed: 33608839
Br J Radiol. 2005 Nov;78(935):1042-6
pubmed: 16249607