Peduncular hallucinations in brainstem encephalitis drawn by a patient

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Peduncular hallucinations in brainstem encephalitis drawn by a patient.

A 74-year-old man presented with acute cerebellar ataxia, ophthalmoplegia, left facial dysesthesia and weakness, dysarthria, dysphasia, and hyperreflexia. Episodic evening hallucinations occurred, triggered by eye closing, and lasted minutes; they were unaccompanied by paranoia, delusions, or REM sleep behavior disorder. We diagnosed brainstem encephalitis, apparently immune-mediated because IV...

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Optic Neuritis in a Patient with Bickerstaff's Brainstem Encephalitis

Dear Editor, Bickerstaff’s brainstem encephalitis (BBE) is characterized by progressive ophthalmoplegia, ataxia, impaired consciousness, and hyperreflexia. BBE is one of the spectrum diseases of anti-GQ1b antibody syndrome affecting both the central nervous system (CNS) and the peripheral nervous system (PNS).1 We report a patient with optic neuritis (ON) and BBE who was effectively treated wit...

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Recurrent Diplopia in a Pediatric Patient with Bickerstaff Brainstem Encephalitis

Introduction. Acute complete external ophthalmoplegia is a rare finding in clinical practice that is associated with diseases affecting the neuromuscular junction, the oculomotor nerves, or the brainstem. Ophthalmoplegia has been reported with acute ataxia in Miller Fisher syndrome (MFS) and Bickerstaff brainstem encephalitis (BBE). Up to 95% of these cases are associated with anti-GQ1b antibod...

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An elderly patient with Bickerstaff brainstem encephalitis and transient episodes of brainstem dysfunction.

BACKGROUND Bickerstaff brainstem encephalitis (BBE) is a rare inflammatory, demyelinating disease that generally has a good prognosis. OBJECTIVE To describe the course of a patient with severe BBE and multiple medical complications. DESIGN Case report. SETTING Academic medical center. PATIENT An 81-year-old woman with BBE who fully recovered. The patient had transient and very frequent ...

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A pediatric case of Bickerstaff's brainstem encephalitis

Bickerstaff's brainstem encephalitis is characterized by ophthalmoplegia, ataxia, and disturbance of consciousness. It is similar to Miller Fisher syndrome, a variant of Guillain-Barre syndrome, in that they share features such as ophthalmoplegia and ataxia. The difference is that patients with Bickerstaff's brainstem encephalitis have impaired consciousness, whereas patients with Miller Fisher...

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ژورنال

عنوان ژورنال: Neurology

سال: 2012

ISSN: 0028-3878,1526-632X

DOI: 10.1212/wnl.0b013e31826e2673