Acute cerebellar ataxia due to Sjögren syndrome

Abstract
A girl aged 16 years developed a headache; evaluation at a local emergency department with head CT revealed sinusitis, and she was treated with antibiotics. A few days later, she developed leg numbness, dysarthria, and ataxia. An MRI at another hospital demonstrated “cerebellar inflammation,” and a lumbar puncture revealed a protein of 110 and leukocyte count of 210 with a lymphocytic pleocytosis. Treatment with cefotaxime and acyclovir was stopped after CSF cultures, herpes simplex virus PCR, and blood cultures were negative. After discharge, her primary doctor …

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