Key clinical
message
Cerebellar infarction is an exceptionally rare cause of status
epilepticus in infants, often presenting with non-specific symptoms that
mimic other conditions such as febrile seizures, metabolic disorders, or
infections. This case highlights the importance of thorough evaluation
in infants presenting with seizures, particularly when associated with
atypical clinical features, a significant family history of neurological
conditions, or consanguinity. Early neuroimaging, particularly MRI, is
critical for identifying structural causes like cerebellar infarction
and associated vascular anomalies, which may predispose infants to
ischemic events. Elevated inflammatory markers, such as CRP, may
indicate a proinflammatory or hypercoagulable state contributing to
vascular injury. Management requires prompt seizure control, often with
antiepileptic drugs like levetiracetam, along with supportive care
addressing nutritional deficiencies and systemic inflammation. Genetic
counseling and advanced testing should be considered in similar cases to
explore potential hereditary predispositions, particularly in
resource-limited settings where diagnostic challenges may arise.