PEDIATRICS Vol. 52 No. 5 November 1973, pp. 718-720
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Meningococcal Meningitis Presenting As Acute Cerebellar Ataxia

Steven M. Yabek M.D.1

1 Department of Pediatrics, Raymond W. Bliss Army Hospital, Fort Huachuca, Arizona 85613

Acute cerebellar ataxia is a well-described, benign syndrome characterized by an acute dramatic onset of truncal ataxia, hypotonia, nystagmus, intention tremor, irritability and vomiting. The patients, generally under 5 years of age, usually have a preceding viral infection and undergo spontaneous cure without specific treatment within weeks or months of the onset. They remain afebrile and the cerebrospinal fluid shows only a mild pleocytosis and protein elevation later in the course of the disease.1-4

Although purulent meningitis can present with a wide variety of central nervous system manifestations, there have been no reports of bacterial meningitis manifesting as cerebellar ataxia until recently. This report will describe such a case.




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