Postinfectious coronavirus disease 2019 hemorrhagic cerebellitis: Illustrative case
Chow EKH, Rabin BM, Ruge J. Postinfectious coronavirus disease 2019 hemorrhagic cerebellitis: illustrative case. J Neurosurg Case Lessons. 2022;4(10):CASE22219. Published 2022 Sep 5. doi:10.3171/CASE22219
Background: Conditions that can mimic posterior fossa tumors are rare. Their identification is crucial to avoid unnecessary surgical intervention, especially when prompt initiation of medical therapy is critical.
Observations: The authors presented a case of pseudotumoral hemorrhagic cerebellitis in a 3-year-old boy who presented initially with headache, persistent vomiting, and decreased level of consciousness 9 weeks after severe acute respiratory syndrome coronavirus 2 infection. Magnetic resonance imaging showed a left cerebellar hemorrhagic mass-like lesion with edema and mild hydrocephalus. The patient responded to high-dose steroids and was discharged 2 weeks later with complete recovery.
Lessons: When evaluating patients with possible tumor syndromes, it is important to also consider rarer inflammatory syndromes that can masquerade as neoplasms. Postinfectious hemorrhagic cerebellitis is one such syndrome.
Advocate Lutheran General Hospital