Why the study?
Neurological manifestations can rarely occur with rotavirus infections, but cerebellar involvement is extremely rare.
Rotavirus infection can rarely present with acute cerebellitis and encephalopathy, which may improve with dexamethasone and IVIG.
Residual deficits may persist after rotavirus cerebellitis despite dexamethasone and IVIG; this case leaves open questions on optimal therapy.
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.
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Paketçi et al. (2020) studied this question.
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