Vogt-Koyanagi-Harada disease associated with brainstem encephalitis.
We report on a 28-year-old man with a 2-year history of Vogt-Koyanagi-Harada disease (VKH), who developed one-and-a-half syndrome, facial hypoesthesia, facial nerve palsy, hearing loss and limb ataxia on the right side. An MRI showed inflammatory lesions in the pons extending into the left middle cerebellar peduncle. Corticosteroid treatment successfully ameliorated his symptoms and lesions. This patient demonstrated the possible association of brainstem encephalitis with VKH.
Hashimoto
Takao
T
Department of Neurology, Aizawa Hospital, 2-5-1 Honjo, Matsumoto 390-8510, Japan. sinke-dr@ai-hosp.or.jp
Takizawa
Hotake
H
Yukimura
Kimie
K
Ohta
Kouichi
K
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001933:Brain Stem / Q000473:pathology*; D004660:Encephalitis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D011239:Prednisolone / Q000627:therapeutic use; D014607:Uveomeningoencephalitic Syndrome / Q000150:complications* / Q000188:drug therapy
D000893:Anti-Inflammatory Agents; D011239:Prednisolone; D008775:Methylprednisolone