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Key Clinical Message  We report a puerpera who has acute‐onset ataxia with fever, headache, convulsions, and altered mental status. She had a good response to antivirus treatment and low‐dose steroid. Acute cerebellitis was the tentative diagnosis. But concurrent encephalitis was proposed with multiple lesions beyond cerebellum.

Lesions more than cerebellum in a puerpera of acute cerebellitis: concurrent encephalitis, not a subtype of ADEM