Acute Cerebellar Ataxia As A Parotitis Complication: Clinical Evaluation And Management



Acute Cerebellar ataxia is a motor control or coordination disorder that can be caused by several things, most often in children due to viral infections including paramyxovirus, head trauma, stroke and intoxication with varying prognosis. The paramyxovirus causes parotitis is highly neurotrophic with aseptic meningitis, encephalitis, hydrocephalus, decreased blood flow on the cerebellum and vasculitis. Those mechanisms implicated on many clinical symptoms, including cerebellar ataxia. Management is only limited to supportive and rehabilitative because symptoms will improve within 2-3 weeks.


Keywords : acute cerebellar ataxia, parotitis, clinical evaluation, management


Full Text:



Anderson RM. Crombie JA, Grenfell BT, 1987. The epidemiology of mumps in the UK: a preeliminary study of virus transmission, herd immunity and the potential impact of immunization. Epidemiol infect:99:65-84

Anıl TANBUROĞLU, mehmed karatas, 2017. Ataxias : pathogenesis, types, causes and treatment. Medical Journal of Mugla Sitki Kocman University;4(2):32-39

Ashizawa T, Xia G, 2016. Ataxia. Continuum Aug;22 (4 movement disorder):1208-26

Atluri VSR, Hidalgo M, Samikkannu T, Kurapati KRV, Nair M. Review article: synaptic plasticity and neurological disorder in neurotropic viral infection. In neural plasticity, 2015. Hindawi publishing co;1-14

Burrell CJ, Murphy FA. Pathogenesis of virus infections. In Fenner and white’s medical virology (5th ed) 2017, chapter 7, page 77-104

Cantu RM, M Das J. viral meningitis, StatPearls Pub, Treasure Island (FL), 2020

Desai J, Mitchell WG, 2012. Acute cerebellar ataxia, acute cerebellitis, and opsoclonus-myoclonus syndrome. J Child Neurol;27(11):1482-8.

Doan TT, Mason CP, Mazzaccaro RJ, Kane KE, 2016. Acute cerebellar ataxia: An unusual pediatric case. J of Emerg Med, vol 50, 5:769-772

Fogel BL. Childhood Cerebellar Ataxia. J Child Neurol. 2012;27(9):1138-45

Garcia-iniquez JP et al. acute cerebellitis in paediatric patients: our experience. neurologia, 2019 vol 34 ;291-9

Gilbert DL, Patterson MC, Teach SJ, 2019. Acute cerebellar ataxia in children. Uptodate journal

Hadjivassiliou M, Martindale J, Shanmugarajah P, Grunewald RA, Sarrigiannis PG, Beauchamp N, et al, Causes of progressive cerebellar ataxia: prospective evaluation of 1500 patients, 2018 J of neurol, Neurosurg and Psychiatry vo 88, issue 4

Hindra Irawan Satari, Nia Kuniati, Corry S Matondang, Zakiudin Munasir, Jose RL Batubara, Mulyadi. Studi Sero epidemiologi pada Antibodi Mumps Anak Sekolah Dasar di Jakarta. Sari Pediatri, Vol. 6, No. 3, Desember 2004: 134-137

Javalkar V, Kelley RE, Gonzalez-Toledo E, McGee J, Minagar A. Acute ataxias: differential diagnosis and treatment approach. Neurol Clin.2014 Nov;32(4):881-91.

Javadzadeh M, Amouzadeh MH, Nejad SSE, Abasi E, Alipour A, Mollamohammadi M, 2017. Ataxia in childhood:epidemiological, clinical and neuroradiologic features, and the risk of recurrence. Iran J Child Neurol; 11(3):1-6

Kang BH, Kim JI. Opsoclonus-myoclonus syndrome associated with mumps virus infection. J Clin Neurol 2014; 10(3):272-5

Lancella L, esposito S, Vilani A. Acute cerebellitis in children: an eleven year retrospective multicentre study in italy. Italian J of Ped, 43:54

Marsden JF. Balance, gait and falls. in Handbook of Clinical Neurology, vol 159, 2018;261-81

Mitoma H, Adhikari K, Yuki N, 2016. Concensus paper: neuroimmune mechanisms of cerebellar ataxias. Cerebellum, 2016; 15:213-32

Musselman KE, Stoyanov CT, Marasigan R, Jenkins ME, Konczak J, Morton SM., et al, 2014. Prevalence of ataxia in children : a systemic review. Neurology;82(1):80-9

Overby P, Kapklein M, Jacobson RI, 2019. Acute ataxia in children. Pediatric in Rev, vol 40, 7:332-43

Pavone P, Pratico AD, Pavone V, et al., 2017. Ataxia in children: early recognition and clinical evaluation. Italian J of Ped, 43:6

Pedroso JL, Vale TC, Braga-Neto P, Dutra LA, Franca Jr MC, Teive HAG, Barsottini OGP, 2019. Acute cerebellar ataxia: differential diagnosis and clinical approach. Arq.Neuro-Psiquiatr.vol 77;3:

Pilotto F, Saxena S. Epidemiology of inherited cerebellar ataxia and challenges in the clinical research. Clinical & Translational Neuroscience July-December 2018: 1–12

Samkar AV, Poulsen NF, Van Leeuwen RB. acute cerebellitis in adults; a rare case report and review of the literature. BMC Res Notes, 2017;10:610

Sivaswamy L. Approach to acute ataxia in childhood: diagnosis and evaluation. Ped Annals 43:4: 2014:155

Tirada N, Levy LM, 2014. Genetics of ataxias; hereditary forms. AJNR Am J Neuroradiol 35;1681-82

Uzun M, Cufali Y, Kiristioglu F, Bodur M, 2015. A case report: mumps acute cerebellitis presented as hydrocephalus and brainstem compression. J of neurological Sci;357:172-92

Wright WF, Pinto CN, Palisoc K, Baghli S. Viral (aseptic) meningitis: a review. J Neurol Sci, 2019(15);398:176-183

Young-Juni Choe, Young Hwa Lee, sung-il Cho. 2017. Increasing incidence mumps rates among children and adolescents in republic of korea: age-period-cohort analysis. Internasional J of Infect Dis, vol 57, 92-97.



  • There are currently no refbacks.

Copyright (c) 2020 erny prasetyo


sinta-logogarudagoogle road


Lisensi Creative Commons
Hang Tuah Medical Journal (Print ISSN: 1693-1238 | Online ISSN: 2598-4861) is licensed under a Lisensi Creative Commons Atribusi 4.0 Internasional. Published by Hang Tuah University Press, Surabaya, Indonesia. 

Statistik Pengunjung