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Pseudotumoral acute hemi-cerebellitis is an inflammatory condition, a self-limited disease with good prognosis, which does not need treatment in most of the cases. It is very rare worldwide, and few cases have described it before. It has a unique presentation and a characteristic neuroimage finding. The cause is not known however, it can be the primary infection, post-infectious or post vaccination disorder. The present work described that, a child was diagnosed to have pseudo- tumoral acute hemi-cerebellitis with a typical presentation in the form of unilateral weakness and areflexia, which was never been reported before this study.