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Title: Bickerstaff's brainstem encephalitis: Can it recur?
Authors: Sharma, V.
Chan, Y.C.
Teoh, H.L.
Wilder-Smith, E.P. 
Keywords: Bickerstaff's brain-stem encephalitis
Guillain-Barré syndrome
Miller Fisher syndrome
Issue Date: 2006
Citation: Sharma, V., Chan, Y.C., Ong, Teoh, H.L., Wilder-Smith, E.P. (2006). Bickerstaff's brainstem encephalitis: Can it recur?. Journal of Clinical Neuroscience 13 (2) : 277-279. ScholarBank@NUS Repository.
Abstract: Bickerstaff's brain-stem encephalitis is usually a monophasic post-viral inflammatory illness characterized by progressive ophthalmoplegia, ataxia and disturbance of consciousness (or hyper-reflexia). Since the clinical spectrum of Bickerstaff encephalitis may overlap with the Miller-Fisher and Guillain-Barré syndromes, the presence of anti- GQ1b antibodies and abnormal brain MRI can help to support its diagnosis. However, absence of anti-GQ1b antibodies and normal MRI do not exclude the diagnosis, which remains based on clinical criteria and exclusion of other etiologies. We report a case of recurrent Bickerstaff's brainstem encephalitis with no identifiable antecedent illness, and overlapping features of Miller Fisher and Guillain-Barré syndromes, in the presence of negative anti-GQ1b antibodies and repeatedly normal MRI of the brain. © 2005 Elsevier Ltd. All rights reserved.
Source Title: Journal of Clinical Neuroscience
ISSN: 09675868
DOI: 10.1016/j.jocn.2005.01.011
Appears in Collections:Staff Publications

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