A case of Bickerstaff's brainstem encephalitis; the evidence of cerebellum involvement by SPM analysis using PET.
Although the clinical manifestations such as drowsiness, brisk reflexes, extensor plantar responses and hemisensory disturbance usually are considered to suggest Bickerstaff's brainstem encephalitis (BBE) rather than Miller Fisher syndrome (MFS), the nosological relationship between BBE and MFS has yet to be established. Herein, we report upon a 58-year-old man who showed ophthalmoplegia, ataxia and consciousness disturbance. In the absence of any abnormality on brain MRI, electrophysiological studies and SPM analysis using (18)F-FDG PET showed evidence of brainstem and cerebellum involvements.
Kwon
Hyung-Min
HM
Department of Neurology, Seoul National University Hospital, Seoul National University, College of Medicine, Yongon-dong 28, Chongno-gu, Seoul, South Korea.
Hong
Yoon-Ho
YH
Sung
Jung-Joon
JJ
Paeng
Jin Chul
JC
Lee
Dong Soo
DS
Lee
Kwang-Woo
KW
D001259:Ataxia / Q000209:etiology; D001323:Autoantibodies / Q000276:immunology; D001933:Brain Stem / Q000378:metabolism* / Q000473:pathology; D002531:Cerebellum / Q000378:metabolism*; D003244:Consciousness Disorders / Q000209:etiology; D004660:Encephalitis / Q000150:complications / Q000276:immunology / Q000378:metabolism*; D019788:Fluorodeoxyglucose F18 / Q000493:pharmacokinetics; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000209:etiology; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals / Q000493:pharmacokinetics; D013223:Statistics as Topic
D001323:Autoantibodies; D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18