J Clin Neurol.  2019 Jul;15(3):424-426. 10.3988/jcn.2019.15.3.424.

Secondary Movement Disorder in a Case of Diphtheric Encephalitis: Clinical and Neuroimaging Features of a Rare Association

Affiliations
  • 1Department of Diagnostic and Interventional Neuroradiology, Institute of Neurosciences, Apollo Speciality Hospital, Jayanagar, Bangalore, India.
  • 2Division of Movement Disorders, Department of Neurology, Institute of Neurosciences, Apollo Speciality Hospital, Jayanagar, Bangalore, India. sanjivchamraj@gmail.com
  • 3Department of Otorhinolaryngology, Apollo Speciality Hospital, Jayanagar, Bangalore, India.
  • 4Department of Paediatric Pulmonology, Institute of Pulmonology, Apollo Speciality Hospital, Jayanagar, Bangalore, India.

Abstract

No abstract available.


MeSH Terms

Encephalitis*
Movement Disorders*
Neuroimaging*

Figure

  • Fig. 1 Findings of MRI performed during week 3 of the illness. FLAIR (A) and T2-weighted (B) images show bilateral striatal edema and posterior thalamic edema (arrows) without abnormal mineralization on susceptibility-weighted images (C) or diffusion restriction on diffusion-weighted images (D, E). More inferior sections at the level of the midbrain reveal bilateral substantia nigra hyperintensities (arrow) in T2-weighted images (F). Follow-up MRI (G–I) performed 4 months later shows the resolution of signal abnormalities and interval atrophy of the previously affected structures.


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