Ali Khalid, Lawthom Charlotte
Department of Neurology, Morriston Hospital, Swansea, UK.
BMJ Case Rep. 2013 Apr 22;2013:bcr2013009171. doi: 10.1136/bcr-2013-009171.
Cerebellar ataxia is a common neurological presentation. It can be acute, subacute or chronic. Neurological complications of Epstein-Barr virus (EBV) are well-recognised with a variety of presentations. Acute cerebellar ataxia is a rare, but an established complication. It has been described as the sole manifestation of EBV infection without the systemic features of infectious mononucleosis. The pathophysiology is not clear. The course of the illness may last for a few months with a benign outcome, though serious complications can happen. We present a case of a 38-year-old man who presented with an acute cerebellar ataxia owing to EBV infection, along with a review of the literature.
小脑共济失调是一种常见的神经学表现。它可以是急性、亚急性或慢性的。爱泼斯坦-巴尔病毒(EBV)的神经学并发症有多种表现,已得到充分认识。急性小脑共济失调是一种罕见但已确定的并发症。它被描述为EBV感染的唯一表现,而无传染性单核细胞增多症的全身特征。其病理生理学尚不清楚。病程可能持续数月,预后良好,不过也可能发生严重并发症。我们报告一例38岁男性因EBV感染出现急性小脑共济失调的病例,并对相关文献进行综述。