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이완사지마비를 동반한 일본뇌염

Japanese Encephalitis Associated with Flaccid Quadriplegia

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초록

Japanese encephalitis is the one of the leading causes of viral encephalitis in Asia. We report on a 56-year-old man with Japanese encephalitis with an unusual manifestation of flaccid quadriplegia. Brain MRI revealed bilateral lesions in the thalamus, midbrain, and medial temporal lobe. Cervical MRI revealed lesion in the bilateral anterior spinal cord. Electromyography revealed active denervation in all four limbs and paraspinal muscles, suggesting a diffuse anterior-horn cell lesion. We report a patient with Japanese encephalitis accompanied by flaccid quadriplegia.

Abstract

Japanese encephalitis is the one of the leading causes of viral encephalitis in Asia. We report on a 56-year-old man with Japanese encephalitis with an unusual manifestation of flaccid quadriplegia. Brain MRI revealed bilateral lesions in the thalamus, midbrain, and medial temporal lobe. Cervical MRI revealed lesion in the bilateral anterior spinal cord. Electromyography revealed active denervation in all four limbs and paraspinal muscles, suggesting a diffuse anterior-horn cell lesion. We report a patient with Japanese encephalitis accompanied by flaccid quadriplegia.

참고문헌 (9)

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  9. Solomon T, "Infectious causes of acute flaccid paralysis", Curr Opin Infect Dis, 16, pp.375~381 (2003)

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