A Discrepancy Between Clinical Course and Magnetic Resonance Imaging in a Case of Non-Herpetic Acute Limbic Encephalitis

نویسندگان

  • Naoto Kohno
  • Yuko Kawakami
  • Chizuko Hamada
  • Genya Toyoda
  • Hirokazu Bokura
  • Shuhei Yamaguchi
  • Yukitoshi Takahashi
چکیده

We report the case of a 64-year old man who presented memory disturbance, low-grade fever, weight loss, and bilateral hand tremors for three months. He was diagnosed with non-herpetic acute limbic encephalitis (NHALE). Follow-up magnetic resonance imaging (MRI) revealed new lesions after symptomatic improvement following steroid pulse therapy. This may indicate that there is a time lag between the disturbance or recovery of neurons and astrocytes. Thus, other lesions might occasionally appear during convalescence in patients with NHALE, even if only minimal lesions were found on the initial MRI.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Neurology International 2013; volume 5:e8 A discrepancy between clinical course and magnetic resonance imaging in a case of non-her- petic acute limbic encephalitis

We report the case of a 64-year old man who presented memory disturbance, low-grade fever, weight loss, and bilateral hand tremors for three months. He was diagnosed with nonherpetic acute limbic encephalitis (NHALE). Follow-up magnetic resonance imaging (MRI) revealed new lesions after symptomatic improvement following steroid pulse therapy. This may indicate that there is a time lag between t...

متن کامل

Herpetic encephalitis based on clinical judgment in pregnancy: case report

Background: Herpes simplex virus (HSV) encephalitis is the most common cause of sporadic encephalitis, with significant morbidity and mortality that are effectively reduced by antiviral treatment. Herpes simplex infection in pregnant women rarely results in encephalitis. The most common symptoms of a pregnant woman with herpes simplex infection are colds and skin vesicles. Herpetic encephalitis...

متن کامل

Acute disseminated encephalomyelitis with medial temporal lesions mimicking acute limbic encephalitis.

We describe a 59-year-old Japanese man with acute disseminated encephalomyelitis (ADEM) demonstrating medial temporal lesions on magnetic resonance images (MRI) mimicking acute limbic encephalitis. This patient had antecedent infection and developed urinary retention. Subsequently he showed various neurological manifestations including truncal ataxia, nystagmus and generalized convulsions, sugg...

متن کامل

O 15: Limbic Encephalitis: General Aspects of Pathophysiology, Symptoms and Therapeutic Options

Patients with limbic encephalitis usually present with new onset mesial temporal lobe seizures, progressive memory disturbance, and a variety of other behavioral, emotional, and cognitive changes. Autoimmune inflammation of the limbic gray matter structures of the human brain has recently been identified as major cause of mesial temporal lobe epilepsy with interictal temporal epileptiform activ...

متن کامل

Two Unique Cases with Anti-GluR Antibody-Positive Encephalitis

We report two cases of anti-glutamic acid receptor (anti-GluR) antibody-positive encephalitis in males with symptoms such as Parkinsonism, urinary retention, and paralytic ileus. Although non-herpetic encephalitis typically shows magnetic resonance imaging (MRI) lesions in the limbic system during early stages, the present cases showed MRI lesions during later stages in the bilateral claustrum ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 5  شماره 

صفحات  -

تاریخ انتشار 2013