J Korean Neurol Assoc.  2005 Jun;23(3):389-391.

A Case of Bickerstaff's Brainstem Encephalitis with Guillain-Barre Syndrome Presenting Optic Neuropathy and Seizure

Affiliations
  • 1Department of Neurology, Catholic University of Daegu School of Medicine, Daegu, Korea. jekim2@cu.ac.kr

Abstract

Bickerstaff's brainstem encephalitis (BBE), characterized by acute ophthalmoplegia and ataxia, often causes impaired consciousness and hyperreflexia. A 17-year-old man was admitted with an acute meningitic condition including high and neck stiffness. His condition rapidly deteriorated over 2 weeks, and he showed ophthalmoplegia, ataxia, seizure, tetraplegia, comatose mentality, and optic neuropathy. Electroencephalography showed diffuse slow waves. Visual evoked potentials showed no responses in the right eye. This is the first case of BBE with Guillain-Barre syndrome presenting with optic neuropathy and seizure.

Keyword

Brain stem encephalitis; Optic neuropathy; Seizures

MeSH Terms

Adolescent
Ataxia
Brain Stem*
Coma
Consciousness
Electroencephalography
Encephalitis*
Evoked Potentials, Visual
Guillain-Barre Syndrome*
Humans
Neck
Ophthalmoplegia
Optic Nerve Diseases*
Quadriplegia
Reflex, Abnormal
Seizures*
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