両側水平眼球運動障害を呈した脳幹脳炎の1成人例

概要

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A 51-year-old male was admitted to the hospital because of diplopia and ataxia. Two weeks before admission he had headache and fever of 39 degrees centigrade. As fever subsided the patient began to complain diplopia and unsteady gait. Neurological examination revealed complete paralysis of lateral gaze, vertical eye movements being intact. Gait was impossible because of ataxia. Cerebrospinal fluid showed cell count of 38/mm<SUP>3</SUP> and a protein of 69 mg/dl.<BR>About two months later, when the patient was discharged, eye movements were normal, except slight restriction of abduction of the left eye. Gait became possible, although still slightly unsteady.<BR>The disease was diagnosed as brain-stem encephalitis (Bickerstaff) . Previous reports on brain-stem encephalitis were reviewed and the significance of ocular symptoms in this case was discussed.
学校法人昭和大学・昭和医学会の論文