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Case Reports
. 2015 Dec;28(6):555-8.
doi: 10.1177/1971400915609349. Epub 2015 Oct 16.

Epstein-Barr virus encephalitis presenting as cerebellar hemorrhage

Shyam Sabat  1 , Amit Agarwal  2 , Thomas Zacharia  1 , Samuel Labib  1 , Jacob Yousef  1
Affiliations
Case Reports

Epstein-Barr virus encephalitis presenting as cerebellar hemorrhage

Shyam Sabat et al. Neuroradiol J. 2015 Dec.

Abstract

Epstein-Barr virus (EBV) belongs to the human herpesvirus family and is ubiquitously found in the adult human population. The most common clinical manifestation of EBV is the syndrome of infectious mononucleosis. Central nervous system involvement by EBV is rare, with very few cases of EBV encephalitis reported in the literature. The majority of these cases report cerebral cortical changes on magnetic resonance imaging. We present a rare case of EBV encephalitis in a young patient with meningitis-like symptoms and cerebellar hemorrhage on magnetic resonance imaging.

Keywords: Encephalitis; Epstein–Barr virus; magnetic resonance imaging.

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Figures

Figure 1.
Figure 1.
Axial T-1 (a) and T2-weighted (b) images reveal cerebellar hemorrhage with intrinsic T1 hyperintensity and low signal on T2-weighted image (arrows). Axial fluid-attenuated inversion recovery images through the posterior fossa show increased signal in the periaqueductal region of the midbrain and the cerebellum (c) (orange arrows). Corresponding susceptibility-weighted images (d) show signal dropout and blooming in those regions (yellow arrows) confirming hemorrhagic changes.
See this image and copyright information in PMC

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