• Rinsho Shinkeigaku · Jul 2017

    Case Reports

    A case of Bickerstaff brainstem encephalitis with transient reflex myoclonus.

    • Ryusuke Takaki, Takamura Nagasaka, Yumi Suwa, Mai Tsuchiya, Kishin Kho, and Yoshihisa Takiyama.
    • Department of Neurology, Faculty of Medicine, University of Yamanashi.
    • Rinsho Shinkeigaku. 2017 Jul 29; 57 (7): 395-398.

    AbstractA 33-year-old woman was admitted due to disturbance of consciousness, dysarthria, dysphagia, sensory disturbances and weakness of the left upper limb after mycoplasma infection. She was treated with intravenous immunoglobulin and intravenous high-dose methylprednisolone as Bickerstaff brainstem encephalitis (BBE). On the 15th hospital day, reflex myoclonus appeared on her face, neck, body and limbs induced by techniques of jaw jerk reflex and patellar tendon reflex. The myoclonus was disappeared after two weeks in accordance with improvement of BBE. The transient reflex myoclonus may be originated from brainstem lesion which was affected by BBE. Reflex myoclonus is thought to be rare symptom in patient with BBE.

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