Bickerstaff brainstem encephalitis - a serious disease with a favourable outcome

CASE REPORTS

Year : July-September 2019 | Volume : 16 | Issue : 3

DOI : 10.7199/ped.oncall.2019.46

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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Authors

Mridula Arabu Manjunath
[Google Scholar] [Pubmed]
Pushpalatha Kariyappa
[Google Scholar] [Pubmed]
Sujatha Ramabhatta
[Google Scholar] [Pubmed]
Pavan Anilkumar Kittagaly
[Google Scholar] [Pubmed]
Kavya Shankar
[Google Scholar] [Pubmed]

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Cite this article as

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