A Case of Cerebellar Ataxia with EB Virus Infection

  • Suzuki Yusuke
    Yamagata University, Faculty of Medicine, Department of Otolaryngology, Head and Neck Surgery Yamagata University, Faculty of Medicine, Department of Systems of the community healthcare
  • Ohta Nobuo
    Yamagata University, Faculty of Medicine, Department of Otolaryngology, Head and Neck Surgery
  • Aoyagi Masaru
    Yamagata University, Faculty of Medicine, Department of Otolaryngology, Head and Neck Surgery

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Other Title
  • EBウイルス性扁桃炎に併発した小脳失調例
  • EB ウイルスセイ ヘントウエン ニ ヘイハツ シタ ショウノウ シッチョウレイ

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A 17-year-old man with severe sore throat and poor oral intake admitted for intractable tonsillitis had sore throat ameliorated, but vomiting, nausea and cerebellar ataxia occurred on day 5 after admission. Laboratary examination showed that EBV (VCA) IgM was positive and EBV nuclear antigen (EBNA) was negative, yielding a diagnosis of acute cerebellitis with initial EBV infection. Methylprednisolone pulse therapy ameliorated subjective symptoms a month after onset, optokinetic nystagmus test results did not improve. We found the equilibrium function test very useful in evaluating latent cerebellar disorder.<br>

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