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J Korean Neurol Assoc. 2008 Aug;26(3):267-269. Korean. Case Report.
Kim YI , An JY , Oh YS , Park IS , Kim JS , Kim YI , Lee KS .
Department of Neurology, The Catholic University of Korea, College of Medicine, Seoul, Korea.

Japanese-B virus encephalitis (JE), the most common human endemic and epidemic encephalitis, usually has a uniphasic illness with a variable outcome. A 49-year-old woman with cognitive dysfunction from JE had improved over 3 weeks. Brain MRI revealed multiple lesions in the bilateral thalamus, caudate nuclei and medial temporal lobe. Two weeks after discharge, the patient showed re-aggravation of the cognitive dysfunction and lapsed into coma. We report a patient with JE having showed biphasic illness pattern.

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