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Abstract
Downbeat nystagmus is a type of jerk nystagmus that may be seen in patients with lesions affecting the vestibulocerebellum. This is a case of a 7-year-old girl presenting with a history of fever, headache, and episodic vertigo with downbeat nystagmus. The diagnosis of Epstein-Barr virus meningitis with acute cerebellitis was made by contrast magnetic resonance imaging, cerebrospinal fluid analysis, and serum Epstein-Barr virus titers. Contrast magnetic resonance imaging demonstrated enhancement of the meninges and inferior cerebellar folia, correlating with the neuroophthalmological symptom of downbeat nystagmus.
Document Type
Article
Publication Date
3-15-2021
Digital Object Identifier (DOI)
https://doi.org/10.1177/2329048X211000463
Repository Citation
Wade, Cameron A.; Toupin, David Neil; Darpel, Kyle; Jones, Kimberly S.; and Lightner, Donita D., "Downbeat Nystagmus in a 7-Year-Old Girl with Epstein-Barr Virus-Associated Meningitis and Cerebellitis" (2021). Neurology Faculty Publications. 80.
https://uknowledge.uky.edu/neurology_facpub/80

Notes/Citation Information
Published in Child Neurology Open, v. 8.
© The Author(s) 2021
This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).