tetano
Editor, Senior Moderator
J Neurosurg Case Lessons
. 2022 Sep 5;4(10):CASE22219.
doi: 10.3171/CASE22219. Print 2022 Sep 5.
Postinfectious coronavirus disease 2019 hemorrhagic cerebellitis: illustrative case
Eric K H Chow[SUP] 1 [/SUP], Barry M Rabin[SUP] 2 [/SUP], John Ruge[SUP] 3 [/SUP]
Affiliations
Abstract
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: 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: 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.
Keywords: COVID-19; SARS-CoV-2; pseudotumor hemorrhagic cerebellitis.
. 2022 Sep 5;4(10):CASE22219.
doi: 10.3171/CASE22219. Print 2022 Sep 5.
Postinfectious coronavirus disease 2019 hemorrhagic cerebellitis: illustrative case
Eric K H Chow[SUP] 1 [/SUP], Barry M Rabin[SUP] 2 [/SUP], John Ruge[SUP] 3 [/SUP]
Affiliations
- PMID: 36083772
- DOI: 10.3171/CASE22219
Abstract
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: 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: 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.
Keywords: COVID-19; SARS-CoV-2; pseudotumor hemorrhagic cerebellitis.