Rotavirus encephalopathy with concomitant acute cerebellitis: report of a case and review of the literature

Rotavirus is a leading cause of gastroenteritis in children under 5 years of age. It is known that neurological manifestations like seizures, encephalopathy and encephalitis can rarely be seen due to rotavirus infections. Cerebellar involvement is extremely rare. We present an uncommon neurol...

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Main Authors: Cem Paketçi, Pınar Edem, Derya Okur, Fatma Ceren Sarıoğlu, Handan Güleryüz, Erhan Bayram, Semra Hız Kurul, Uluç Yiş
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2020-02-01
Series:The Turkish Journal of Pediatrics
Subjects:
Online Access:https://turkjpediatr.org/article/view/419
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author Cem Paketçi
Pınar Edem
Derya Okur
Fatma Ceren Sarıoğlu
Handan Güleryüz
Erhan Bayram
Semra Hız Kurul
Uluç Yiş
author_facet Cem Paketçi
Pınar Edem
Derya Okur
Fatma Ceren Sarıoğlu
Handan Güleryüz
Erhan Bayram
Semra Hız Kurul
Uluç Yiş
author_sort Cem Paketçi
collection DOAJ
description Rotavirus is a leading cause of gastroenteritis in children under 5 years of age. It is known that neurological manifestations like seizures, encephalopathy and encephalitis can rarely be seen due to rotavirus infections. Cerebellar involvement is extremely rare. We present an uncommon neurological manifestation of rotavirus infection in a 4-year-old Turkish child who presented with hypotonia, reduced consciousness and mutism. Magnetic resonance imaging revealed diffusion abnormalities in the splenium of corpus callosum and nucleus dentatus bilaterally. She was diagnosed with rotavirus cerebellitis. She improved well with dexamethasone and intravenous immunoglobulin but still has dysarthria and poor fine motor coordination.
format Article
id doaj-art-3bc652f938f149919f1e42dc9b731bdb
institution DOAJ
issn 0041-4301
2791-6421
language English
publishDate 2020-02-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-3bc652f938f149919f1e42dc9b731bdb2025-08-20T02:55:41ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212020-02-0162110.24953/turkjped.2020.01.017Rotavirus encephalopathy with concomitant acute cerebellitis: report of a case and review of the literatureCem Paketçi0Pınar Edem1Derya Okur2Fatma Ceren Sarıoğlu3Handan Güleryüz4Erhan Bayram5Semra Hız Kurul6Uluç Yiş7Divisions of Pediatric Neurology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.Divisions of Pediatric Neurology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.Divisions of Pediatric Neurology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.Pediatric Radiology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.Pediatric Radiology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.Divisions of Pediatric Neurology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.Divisions of Pediatric Neurology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.Divisions of Pediatric Neurology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey. Rotavirus is a leading cause of gastroenteritis in children under 5 years of age. It is known that neurological manifestations like seizures, encephalopathy and encephalitis can rarely be seen due to rotavirus infections. Cerebellar involvement is extremely rare. We present an uncommon neurological manifestation of rotavirus infection in a 4-year-old Turkish child who presented with hypotonia, reduced consciousness and mutism. Magnetic resonance imaging revealed diffusion abnormalities in the splenium of corpus callosum and nucleus dentatus bilaterally. She was diagnosed with rotavirus cerebellitis. She improved well with dexamethasone and intravenous immunoglobulin but still has dysarthria and poor fine motor coordination. https://turkjpediatr.org/article/view/419central nervous system infectionencephalitisencephalopathymutismrotavirus
spellingShingle Cem Paketçi
Pınar Edem
Derya Okur
Fatma Ceren Sarıoğlu
Handan Güleryüz
Erhan Bayram
Semra Hız Kurul
Uluç Yiş
Rotavirus encephalopathy with concomitant acute cerebellitis: report of a case and review of the literature
The Turkish Journal of Pediatrics
central nervous system infection
encephalitis
encephalopathy
mutism
rotavirus
title Rotavirus encephalopathy with concomitant acute cerebellitis: report of a case and review of the literature
title_full Rotavirus encephalopathy with concomitant acute cerebellitis: report of a case and review of the literature
title_fullStr Rotavirus encephalopathy with concomitant acute cerebellitis: report of a case and review of the literature
title_full_unstemmed Rotavirus encephalopathy with concomitant acute cerebellitis: report of a case and review of the literature
title_short Rotavirus encephalopathy with concomitant acute cerebellitis: report of a case and review of the literature
title_sort rotavirus encephalopathy with concomitant acute cerebellitis report of a case and review of the literature
topic central nervous system infection
encephalitis
encephalopathy
mutism
rotavirus
url https://turkjpediatr.org/article/view/419
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