MRI findings in a remitting-relapsing case of Bickerstaff encephalitis.
A case of remitting-relapsing Bickerstaff encephalitis is reported. The article focuses on its imaging findings and their significance when a clinical differentiation between Bickerstaff encephalitis and Miller-Fisher syndrome is attempted. Signs and symptoms may occasionally overlap. However, because Miller-Fisher syndrome is related to the peripheral nervous system and Bickerstaff encephalitis is a central disease, the recognition of brain stem hypointense lesions on T1-weighted images, which are hyperintense on T2-weighted sequences, could be a reliable tool when the clinical diagnosis is unclear.
Mondéjar
R R
RR
Diagnostic Radiology Department, HGU Morales Meseguer, C/Marqués de los Vélez, s/n, 30008 Murcia, Spain. jgarcia@hmmg.insalud.es
Santos
J M G
JM
Villalba
E F
EF
D000328:Adult; D001933:Brain Stem / Q000473:pathology*; D003937:Diagnosis, Differential; D004660:Encephalitis / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019846:Miller Fisher Syndrome / Q000473:pathology