Abstract
We report a very rare case of Japanese encephalitis (JE) presenting with reversible stereotyped movement in the subacute stage. A 58-year-old woman presented with high fever, headache, nausea, vomiting, and consciousness disturbance. Cranial magnetic resonance imaging (MRI) of fluid attenuated inversion recovery (FLAIR) and T2-weighted image (WI) showed high intensity areas in the bilateral thalamus, caudate nucleus and hippocampus. She developed coma, convulsion, and ballism in the acute stage. One month after onset, she showed rhythmic, stereotyped, repetitive movements with hypoperfusion in the thalamus and frontal cortex on single photon emission computed tomography (SPECT). Three months later, her stereotyped movement improved accompanied by recovery of hypoperfusion in the thalamus and frontal cortex on SPECT. We speculated that her stereotyped movement was clonic perseveration due to frontal dysfunction induced by thalamofrontal disconnection.
| Original language | English |
|---|---|
| Pages (from-to) | 107-109 |
| Number of pages | 3 |
| Journal | Journal of the Neurological Sciences |
| Volume | 251 |
| Issue number | 1-2 |
| DOIs | |
| Publication status | Published - Dec 21 2006 |
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Keywords
- Clonic perseveration
- Japanese encephalitis
- Thalamofrontal disconnection
ASJC Scopus subject areas
- Ageing
- Clinical Neurology
- Surgery
- Developmental Neuroscience
- Neurology
- Neuroscience(all)
Cite this
Clonic perseveration in the subacute stage of Japanese encephalitis. / Ono, Y.; Manabe, Y.; Sakai, K.; Hayashi, Y.; Abe, Koji.
In: Journal of the Neurological Sciences, Vol. 251, No. 1-2, 21.12.2006, p. 107-109.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Clonic perseveration in the subacute stage of Japanese encephalitis
AU - Ono, Y.
AU - Manabe, Y.
AU - Sakai, K.
AU - Hayashi, Y.
AU - Abe, Koji
PY - 2006/12/21
Y1 - 2006/12/21
N2 - We report a very rare case of Japanese encephalitis (JE) presenting with reversible stereotyped movement in the subacute stage. A 58-year-old woman presented with high fever, headache, nausea, vomiting, and consciousness disturbance. Cranial magnetic resonance imaging (MRI) of fluid attenuated inversion recovery (FLAIR) and T2-weighted image (WI) showed high intensity areas in the bilateral thalamus, caudate nucleus and hippocampus. She developed coma, convulsion, and ballism in the acute stage. One month after onset, she showed rhythmic, stereotyped, repetitive movements with hypoperfusion in the thalamus and frontal cortex on single photon emission computed tomography (SPECT). Three months later, her stereotyped movement improved accompanied by recovery of hypoperfusion in the thalamus and frontal cortex on SPECT. We speculated that her stereotyped movement was clonic perseveration due to frontal dysfunction induced by thalamofrontal disconnection.
AB - We report a very rare case of Japanese encephalitis (JE) presenting with reversible stereotyped movement in the subacute stage. A 58-year-old woman presented with high fever, headache, nausea, vomiting, and consciousness disturbance. Cranial magnetic resonance imaging (MRI) of fluid attenuated inversion recovery (FLAIR) and T2-weighted image (WI) showed high intensity areas in the bilateral thalamus, caudate nucleus and hippocampus. She developed coma, convulsion, and ballism in the acute stage. One month after onset, she showed rhythmic, stereotyped, repetitive movements with hypoperfusion in the thalamus and frontal cortex on single photon emission computed tomography (SPECT). Three months later, her stereotyped movement improved accompanied by recovery of hypoperfusion in the thalamus and frontal cortex on SPECT. We speculated that her stereotyped movement was clonic perseveration due to frontal dysfunction induced by thalamofrontal disconnection.
KW - Clonic perseveration
KW - Japanese encephalitis
KW - Thalamofrontal disconnection
UR - http://www.scopus.com/inward/record.url?scp=33751257124&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33751257124&partnerID=8YFLogxK
U2 - 10.1016/j.jns.2006.09.009
DO - 10.1016/j.jns.2006.09.009
M3 - Article
C2 - 17097112
AN - SCOPUS:33751257124
VL - 251
SP - 107
EP - 109
JO - Journal of the Neurological Sciences
JF - Journal of the Neurological Sciences
SN - 0022-510X
IS - 1-2
ER -