Affiliations: Department of Pediatrics, Bangalore Medical College
and Research Institute, Bangalore, India | Department of Neurology, Bangalore Medical College and
Research Institute, Bangalore, India
Note:  Correspondence: Dr. Praveen-kumar Srikanteswara, Associate
Professor of Neurology, Bowring and Lady Curzon Hospitals, Bangalore Medical
College and Research Institute, Bangalore 560001, Karnataka, India. Tel.: +91
9448685155; E-mail: email@example.com
Abstract: Kikuchi-Fujimoto disease (KFD) is a benign and self-limiting
condition primarily affecting the cervical lymph nodes. Central nervous system
involvement with acute cerebellar symptoms is a rare presentation in KFD. We
report a 15-year-old girl presenting with intentional tremor, dysarthria and
gait ataxia following episodes of recurrent fever and cervical lymphadenopathy.
The diagnosis of KFD was made based on histopathology. Brain magnetic resonance
imaging showed lesions in mid-pons and bilateral middle cerebellar peduncles.
The patient's symptoms spontaneously resolved without any sequelae. A diagnosis
of KFD should be considered when enlarged cervical lymphnodes are observed in
patients with acute cerebellar symptoms. Selective inflammation of cerebellum
and related structures by viral or immunological responses may be attributed to
this rare presentation in KFD.