Acute cerebellar ataxia is a benign syndrome usually occurring after a
n acute febrile disease. In a few cases neuroradiological investigatio
ns reveal cerebellar alterations. Clinical and neuroradiological invol
vement of the brain stem has rarely been reported in the literature. W
e present five cases of acute cerebellar ataxia. In two cases the cere
bellar symptomatology was associated with neurological signs of brain
stem involvement. CT scans did not show any pathologic findings in thr
ee patients. MRI disclosed cerebellar or brain stem alterations in all
the patients. Clinical and neuroradiological findings allow different
iation of this pathologic entity from other demyelinating or dysmyelin
ating diseases. The value of MRI in detection and localization of the
lesions and in following their evolution is emphasized.