{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T08:50:37Z","timestamp":1784191837416,"version":"3.55.0"},"reference-count":9,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,2,15]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>Acute cerebellitis (AC) is a principal cause of acute cerebellar dysfunction in previously well children. Although the condition is usually benign, fatal complications include obstructive hydrocephalus and brainstem compression; therefore, prompt accurate diagnosis is vital.\n<jats:sup>1<\/jats:sup>\n There are various pathogens reported in the literature as aetiological agents of AC; however, adenovirus is very rarely mentioned, with only one previous case report in the literature to the best of our knowledge.\n<jats:sup>2<\/jats:sup>\n This case demonstrates the importance of recognising adenovirus as a cause of AC, particularly when preceded by a respiratory tract infection in the paediatric age group. Furthermore, we highlight the role of early neuroimaging in differentiating AC from other causes of acute cerebellar dysfunction, which require different management. Our patient made a full recovery with no long-term deficits demonstrating that comprehensive investigation and consideration of atypical pathogens in the context of AC is vital in securing a favourable outcome.<\/jats:p>","DOI":"10.1136\/bcr-2018-227808","type":"journal-article","created":{"date-parts":[[2019,3,2]],"date-time":"2019-03-02T05:35:16Z","timestamp":1551504916000},"page":"e227808","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Adenovirus cerebellitis in an immunocompetent 2-year-old girl"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8411-4747","authenticated-orcid":false,"given":"Zena","family":"Tansley-Ahmed","sequence":"first","affiliation":[{"name":"Department of Paediatrics, University College London Medical School, Royal Free Hospital NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kit","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Neurology, King\u2019s College Hospital NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loucas","family":"Christodoulou","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,3,1]]},"reference":[{"key":"2025082711311485000_12.3.e227808.1","doi-asserted-by":"crossref","first-page":"bcr-2017-219337","DOI":"10.1136\/bcr-2017-219337","article-title":"Complicated acute cerebellitis with obstructive hydrocephalus and tonsillar herniation in a child","volume":"14","author":"Venkatesh","year":"2017","journal-title":"BMJ Case Rep"},{"key":"2025082711311485000_12.3.e227808.2","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1007\/s00431-010-1300-x","article-title":"Adenovirus infection mimics the cerebellitis caused by rotavirus infection","volume":"170","author":"Kato","year":"2011","journal-title":"Eur J Pediatr"},{"key":"2025082711311485000_12.3.e227808.3","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1186\/s13052-014-0098-y","article-title":"Acute post-infectious cerebellar ataxia due to co-infection of human herpesvirus-6 and adenovirus mimicking myositis","volume":"40","author":"Naselli","year":"2014","journal-title":"Ital J Pediatr"},{"key":"2025082711311485000_12.3.e227808.4","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2016-217524"},{"key":"2025082711311485000_12.3.e227808.5","doi-asserted-by":"crossref","first-page":"2408","DOI":"10.1128\/JCM.36.9.2408-2412.1998","article-title":"Detection by PCR of enteroviruses in cerebrospinal fluid during a summer outbreak of aseptic meningitis in Switzerland","volume":"36","author":"Gorgievski-Hrisoho","year":"1998","journal-title":"J Clin Microbiol"},{"key":"2025082711311485000_12.3.e227808.6","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.17.4.903-925.2004"},{"key":"2025082711311485000_12.3.e227808.7","doi-asserted-by":"crossref","unstructured":"\u015e G , Kurugol Z . Aslan A. A Rare Cause of Childhood Cerebellitis-Influenza Infection: A Case Report and Systematic Review of Literature. Case Rep Pediatr 2017:1\u20135.","DOI":"10.1155\/2017\/4039358"},{"key":"2025082711311485000_12.3.e227808.8","unstructured":"Gilbert D , Teach S . Acute cerebellar ataxia in children. https:\/\/www.uptodate.com\/contents\/acute-cerebellar-ataxia-in-children (cited 2018 Aug 17)."},{"key":"2025082711311485000_12.3.e227808.9","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1186\/s13052-017-0416-2","article-title":"Neuropsychological and internalizing problems in acute central nervous system infections: a 1 year follow-up","volume":"43","author":"Bozzola","year":"2017","journal-title":"Ital J Pediatr"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-227808","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:31:26Z","timestamp":1756319486000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-227808"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,3,1]]},"published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1136\/bcr-2018-227808"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-227808","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}