ISSN - 0973-0958

Pediatric Oncall Journal View Article

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.
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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