Cargando…

Bickerstaff’s Brainstem Encephalitis Suspected as Functional Neurologic Disorders

Functional neurologic disorders feature nervous system symptoms that cannot be explained by a neurological disease or other medical condition. The patient described here was a 21-year-old Japanese woman who was initially diagnosed with a functional neurologic disorder based on numbness and weakness...

Descripción completa

Detalles Bibliográficos
Autores principales: Okayasu, Hiroaki, Yasui-Furukori, Norio, Kadowaki, Taro, Funakoshi, Kei, Hirata, Koichi, Shimoda, Kazutaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244345/
https://www.ncbi.nlm.nih.gov/pubmed/32547252
http://dx.doi.org/10.2147/IMCRJ.S249818
_version_ 1783537557527592960
author Okayasu, Hiroaki
Yasui-Furukori, Norio
Kadowaki, Taro
Funakoshi, Kei
Hirata, Koichi
Shimoda, Kazutaka
author_facet Okayasu, Hiroaki
Yasui-Furukori, Norio
Kadowaki, Taro
Funakoshi, Kei
Hirata, Koichi
Shimoda, Kazutaka
author_sort Okayasu, Hiroaki
collection PubMed
description Functional neurologic disorders feature nervous system symptoms that cannot be explained by a neurological disease or other medical condition. The patient described here was a 21-year-old Japanese woman who was initially diagnosed with a functional neurologic disorder based on numbness and weakness of the limbs with no abnormalities in routine examinations. Further detailed examinations revealed monocytes in cerebrospinal fluid (CSF), and electroencephalography revealed widespread, low-voltage, slow waves with concentrated spindle waves. Thus, encephalitis was suspected, and steroid pulse therapy was initiated. Her symptoms subsequently improved. Afterward, CSF analysis was positive for serum anti-GQ1b IgG antibodies. We made a final diagnosis of Bickerstaff’s brainstem encephalitis (BBE). Our report describes the difficult differentiation of functional neurologic disorders from BBE. Physicians and psychiatrists should be aware of BBE.
format Online
Article
Text
id pubmed-7244345
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Dove
record_format MEDLINE/PubMed
spelling pubmed-72443452020-06-15 Bickerstaff’s Brainstem Encephalitis Suspected as Functional Neurologic Disorders Okayasu, Hiroaki Yasui-Furukori, Norio Kadowaki, Taro Funakoshi, Kei Hirata, Koichi Shimoda, Kazutaka Int Med Case Rep J Case Report Functional neurologic disorders feature nervous system symptoms that cannot be explained by a neurological disease or other medical condition. The patient described here was a 21-year-old Japanese woman who was initially diagnosed with a functional neurologic disorder based on numbness and weakness of the limbs with no abnormalities in routine examinations. Further detailed examinations revealed monocytes in cerebrospinal fluid (CSF), and electroencephalography revealed widespread, low-voltage, slow waves with concentrated spindle waves. Thus, encephalitis was suspected, and steroid pulse therapy was initiated. Her symptoms subsequently improved. Afterward, CSF analysis was positive for serum anti-GQ1b IgG antibodies. We made a final diagnosis of Bickerstaff’s brainstem encephalitis (BBE). Our report describes the difficult differentiation of functional neurologic disorders from BBE. Physicians and psychiatrists should be aware of BBE. Dove 2020-05-18 /pmc/articles/PMC7244345/ /pubmed/32547252 http://dx.doi.org/10.2147/IMCRJ.S249818 Text en © 2020 Okayasu et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Case Report
Okayasu, Hiroaki
Yasui-Furukori, Norio
Kadowaki, Taro
Funakoshi, Kei
Hirata, Koichi
Shimoda, Kazutaka
Bickerstaff’s Brainstem Encephalitis Suspected as Functional Neurologic Disorders
title Bickerstaff’s Brainstem Encephalitis Suspected as Functional Neurologic Disorders
title_full Bickerstaff’s Brainstem Encephalitis Suspected as Functional Neurologic Disorders
title_fullStr Bickerstaff’s Brainstem Encephalitis Suspected as Functional Neurologic Disorders
title_full_unstemmed Bickerstaff’s Brainstem Encephalitis Suspected as Functional Neurologic Disorders
title_short Bickerstaff’s Brainstem Encephalitis Suspected as Functional Neurologic Disorders
title_sort bickerstaff’s brainstem encephalitis suspected as functional neurologic disorders
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244345/
https://www.ncbi.nlm.nih.gov/pubmed/32547252
http://dx.doi.org/10.2147/IMCRJ.S249818
work_keys_str_mv AT okayasuhiroaki bickerstaffsbrainstemencephalitissuspectedasfunctionalneurologicdisorders
AT yasuifurukorinorio bickerstaffsbrainstemencephalitissuspectedasfunctionalneurologicdisorders
AT kadowakitaro bickerstaffsbrainstemencephalitissuspectedasfunctionalneurologicdisorders
AT funakoshikei bickerstaffsbrainstemencephalitissuspectedasfunctionalneurologicdisorders
AT hiratakoichi bickerstaffsbrainstemencephalitissuspectedasfunctionalneurologicdisorders
AT shimodakazutaka bickerstaffsbrainstemencephalitissuspectedasfunctionalneurologicdisorders