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Pediatría (Asunción)

On-line version ISSN 1683-9803

Abstract

GONZALEZ LOPEZ, Joel Eladio; ROJAS DE RECALDE, Laura  and  CHAMORRO NOCEDA, Luis. Bickerstaff’s encephalitis. Case report and literature review. Pediatr. (Asunción) [online]. 2016, vol.43, n.2, pp.137-144. ISSN 1683-9803.  https://doi.org/10.18004/ped.2016.agosto.137-144.

A Bickerstaff`s case brainstem encephalitis (EB).It was in a child of 4 years of age.  He had two hospitalizations in the pediatrics service of Hospital Central Institute of Social Security (HC.IPS): the first by prolonged fever and second, two weeks later by a neurological syndrome characterized by drowsiness and dizziness as initial symptoms, ophthalmoplegia and ataxia; those who were adding the involvement of other cranial nerves. Respiratory symptoms (ethmoid sinusitis) and skin lesions (impetigo) were the infectious antecedents identified in the first entry, to which test positive for salmonella thyfi was added in serological evaluation by a history of prolonged febrile syndrome. The evolution was satisfactory with full functional recovery at 60 days. A revisions of the case and of the syndromes associated with antiganglioside antibodies especially the anti GQ1b was made.

Keywords : Bickerstaff’s encephalitis; Miller Fisher syndrome; anti GQ1b.

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