Cerebellitis, also known as acute cerebellar ataxia, is an inflammator
y syndrome of cerebellar dysfunction that may reflect an infectious, p
ost-infectious, or post-vaccination disorder. We present serial magnet
ic resonance imaging (MRI) findings in a partially reversible, idiopat
hic cerebellitis. Bilateral cerebellar parenchymal abnormalities were
noted, including hyperintensities on T2-weighted images and cerebellar
swelling. After contrast administration, the cerebellum showed abnorm
al bilateral enhancement. The authors state this represents the first
report of abnormal contrast enhancement in this condition. The MRI les
ions most likely reflect the reversible, inflammatory nature of the sy
ndrome. (C) Elsevier Science Inc., 1998.