The Complex Diagnostic Challenge in Children With Non-Central Nervous System Cancer and Cerebellar Mutism.

Abstract:

:Multiple etiologies should be considered in the differential diagnosis of immunocompromised patients with non-central nervous system cancer and viral infections who develop mutism. Acute cerebellitis, caused by infections or by neurotoxicity resulting from chemotherapy; paraneoplastic cerebellar degeneration; atypical posterior reversible encephalopathy syndrome; and acute disseminated encephalomyelitis may all cause mutism in such patients. This condition warrants prompt recognition and may require treatment with immunotherapy, as it may be an immune-mediated process. We present 2 patients with leukemia and viral illness who developed cerebellar mutism in the setting of acute cerebellitis and responded to immunotherapy, suggesting that the condition involved a parainfectious immune-mediated response.

journal_name

J Child Neurol

authors

Helton K,Patterson AL,Khan RB,Sadighi ZS

doi

10.1177/0883073817709178

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

823-827

issue

9

eissn

0883-0738

issn

1708-8283

journal_volume

32

pub_type

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