Acute life threatening cerebellitis presenting with no apparent cerebellar signs

Infectious pathogens that have been reported to be causal or associated with acute cerebellitis include varicella, measles, mumps, rubella, Epstein-Barr virus, cytomegalovirus, herpes simplex virus, influenza virus, parainfluenza virus, poliovirus, coxsackie virus, salmonella typhi, Borrelia burgdorferi, Coxiela burnetii, bordetella pertussis and mycoplasma pneumoniae [1]. Investigations including a detailed infection, inflammatory and tumour markers screen were undertaken from both serum and CSF; revealing a raised antistreptococcal titers (ASOT 600IU, AntiDNAse B 800IU).4 Discussion The clinical features of acute cerebellitis have been classically described as headache, vomiting and disturbance of consciousness, with cerebellar dysfunction supported with neuroimaging changes [1].