J Korean Neurol Assoc.
2024 Nov;42(4):387-391. 10.17340/jkna.2024.0043.
Epstein-Barr Virus Encephalitis Involving the Bilateral Corticospinal Tract: Wine Glass Sign
- Affiliations
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- 1Department of Neurology, Inha University Hospital, Incheon, Korea
- 2Department of Neurology, Inha University College of Medicine, Incheon, Korea
- KMID: 2561000
- DOI: http://doi.org/10.17340/jkna.2024.0043
Abstract
- Epstein-Barr virus (EBV) causes a variety of central nervous system infections, including encephalitis. EBV encephalitis accounts for approximately 5.8% of all viral encephalitis, with fever, headache, convulsions, and decreased consciousness as common symptoms. Brain magnetic resonance imaging (MRI) in EBV encephalitis shows high signal intensity mainly in the parieto-occipital cortex, subcortical white matter, and deep gray matter nuclei with reversibility. In this report, we present a case of bilateral corticospinal tract involvement (wine glass sign) identified on brain MRI in a patient with diagnosed with EBV encephalitis.
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