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Accession number;99A0264712
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| Title;Bickerstaff's brainstem encephalitis with one-and-a-half syndrome. |
| Author;
KOYAMA SATOSHI
(Kokuritsu Ryoyosho Nayoro Byoin)
KURODA KENJI
(Asahikawa Med. Coll.)
AIZAWA HITOSHI
(Asahikawa Med. Coll.)
KIKUCHI KENJIRO
(Asahikawa Med. Coll.)
KUSUNOKI SUSUMU
(Univ. of Tokyo)
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Journal Title;Clinical Neurology
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Journal Code:Z0689A
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ISSN:0009-918X
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VOL.38;NO.9;PAGE.849-852(1998)
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| Figure&Table&Reference;FIG.2, REF.10 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We presented a case of Bickerstaff's brainstem encephalitis. A 50-year-old woman developed semicoma, external ophthalmoplegia, hyporeflexia, extensor plantar responses. A high titer of anti-GQ1b IgG antibody was detected in her acute phase serum. Auditory brainstem response suggested the presence of brainstem lesion. Although MRI and CSF showed no abnormality, one-and-a-half syndrome was observed during the clinical course, suggesting involvement of the pontine tegmentum. She received steroid pulse-therapy and symptoms disappeared completely. Our case suggested that anti-GQ1b IgG antibody might relate to the pathogenesis of intramedullary as well as extramedullary lesions. (author abst.) |
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