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Bickerstaff Brainstem Encephalitis - A Serious Disease with a Favourable Outcome
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Volume 16, Issue 3 View Issue
July-September 2019
Pages: 86-87

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Received 20 June 2018
Accepted 21 March 2019

 DOI:
https://doi.org/10.7199/ped.oncall.2019.46

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Manjunath M A, Kariyappa P, Ramabhatta S, Kittagaly P A, Shankar K. Bickerstaff Brainstem Encephalitis - A Serious Disease with a Favourable Outcome. Pediatr Oncall J. 2019;16: 86-87. doi: 10.7199/ped.oncall.2019.46
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CASE REPORTS
Bickerstaff Brainstem Encephalitis - A Serious Disease with a Favourable Outcome
Mridula Arabu Manjunath, Pushpalatha Kariyappa, Sujatha Ramabhatta, Pavan Anilkumar Kittagaly, Kavya Shankar.
Department of Pediatrics, ESIC Medical College & Post Graduate Institute of Medical Sciences and Research, Bangalore, India.
Abstract
Encephalitis is a common neuroinfection resulting in high mortality and morbidity in children. Bickerstaff Brainstem Encephalitis (BBE) is a rare immune mediated disorder considered to be one among the anti Gq1b syndromes. It is essentially a self-limiting disorder though intravenous immunoglobulin and plasmapheresis are known to hasten recovery. We report a case of BBE in a 3-year-old girl who presented with altered sensorium, ataxia, ophthalmoplegia, hypertonia and remained comatose for 15 days. MRI Brain showed typical findings of BBE. Child was treated with supportive measures and intravenous immunoglobulin. Child improved and recovered over a period of 5 months.

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