Ahuja, S RKarande, SKulkarni, M V2000-10-042009-06-022000-10-042009-06-022000-10-04Ahuja SR, Karande S, Kulkarni MV. Cerebellar atrophy in an epileptic child: is it due to phenytoin? Journal of Postgraduate Medicine. 2000 Oct-Dec; 46(4): 278-9http://imsear.searo.who.int/handle/123456789/115988A four and half year old epileptic child on phenytoin therapy since one year presented with signs of cerebellar dysfunction. Serum phenytoin level was high (33 mcg/ml) and computerised tomographic scan of the brain showed severe generalised cerebellar atrophy. The cerebellar signs represented drug over dosage and toxicity and persisted long after omission of phenytoin.engAnticonvulsants --adverse effectsAtrophy --chemically inducedCerebellum --pathologyChild, PreschoolEpilepsy, Tonic-Clonic --drug therapyHumansMalePhenytoin --adverse effectsCase Reports