Acute postinfectious cerebellitis (Paediatrics)

Medium urgency
-Very severe

Cerebellar ataxia is an inflammation of the cerebellum secondary to infection. It is also known as cerebellar ataxia. It most commonly affects children between the ages of 2 and 6 years old.

The exact cause is unknown, although it is believed to have an autoimmune origin. Most cases appear after a viral infection: chickenpox, Epstein Barr virus, mumps, etc.

It manifests with a movement disorder called ataxia, which makes walking, balance and fine coordinated movements difficult. Symptoms usually appear rapidly. It is rarely accompanied by fever or convulsions.

The diagnosis is clinical but other causes of ataxia, such as toxins or alcohol, must be ruled out. Imaging or lumbar puncture may be necessary in the presence of atypical symptoms or if another pathology or trauma is suspected.

There is no specific treatment. Symptom supportive treatment should be prescribed.

Patients usually improve spontaneously after the first week. Approximately 9 out of 10 children have full recovery within 4 months of symptom onset.

Bibliographic references
  1. Donald L Gilbert. Acute cerebellar ataxia in children. UpToDate. Septiembre 2016
  2. Connolly AM. Course and outcome of acute cerebellar ataxia. Ann Neurol 1994; 35:673.
  3. Nussinovitch M. Post-infectious acute cerebellar ataxia in children. Clin Pediatr (Phila) 2003; 42:581.
  4. Desai J. Acute cerebellar ataxia, acute cerebellitis, and opsoclonus-myoclonus syndrome. J Child Neurol 2012; 27:1482.
  5. 4.Poretti A, Benson JE, Huisman TA, Boltshauser E. Acute ataxia in children: approach to clinical presentation and role of additional investigations. Neuropediatrics 2013; 44:127.
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Tremors


    Muscle flaccidity


    Feel weak


    Difficulty walking


    Need to open the legs more than usual to walk

Pre-hospital care recommendations

Call medical assistance for instructions.
Relative rest, rest until symptoms subside.
Consume antiemetics if vomits are present.