ABSTRACT
We report a case of herpes simplex virus (HSV) encephalitis (HSE) in an 11-year-old boy who recovered with acyclovir therapy but developed relapse after 2 weeks. Choreoathetosis was the presenting feature of relapse. Response to antiinflammatory treatment was excellent. To the best of our knowledge, this is the first case of HSE relapse presenting with choreoathetosis reported from India. We describe the patient and review the literature on HSE and HSE relapse.
Subject(s)
Athetosis/etiology , Child , Chorea/etiology , Encephalitis, Herpes Simplex/complications , Humans , Male , Recurrence , Temporal Lobe/pathologyABSTRACT
Two patients of uncommon neurological presentation due to non-ketotic hyperglycemia (NKH) are being described in this report. Generalized choreo-athetosis and epilepsia partialis continua as presenting symptoms in non-ketotic hyperglycemia is rare. The abnormal movements responded completely to insulin therapy. In acute onset of abnormal movements, besides other causes, metabolic disorders such as non-ketotic hyperglycemia should also be ruled out as they are treatable.
Subject(s)
Aged , Athetosis/etiology , Epilepsia Partialis Continua/etiology , Female , Hyperglycinemia, Nonketotic/complications , Hyperglycinemia, Nonketotic/drug therapy , Hyperglycinemia, Nonketotic/psychology , Humans , Insulin/adverse effects , Insulin/therapeutic use , Male , Middle AgedABSTRACT
La infección por cryptococcus en el niño es muy infrecuente especialmente si es inmunocompetente. Se presenta un preescolar inmunocompetente con meningoencefalitis grave con líquido cefalorraquídeo claro y signos neurológicos de focalización, tratado como meningoencefalitis herpética. Evolucionó inicialmente con leve mejoría, reingresando por aumento del compromiso neurológico. Se amplió el estudio etiológico y se detectó cryptococcus en el LCR. Se comenta el cuadro clínico de la meningoencefalitis cryptococócica su diagnóstico y revisión de la literatura. Nos parece aconsejable incluir el test de tinta china en toda meningoencefalitis a líquido claro de etiología no precisada
Subject(s)
Humans , Male , Infant , Cryptococcus neoformans/pathogenicity , Meningoencephalitis/etiology , Amphotericin B/therapeutic use , Athetosis/etiology , Cryptococcus neoformans/drug effects , Cryptococcus neoformans/isolation & purification , Flucytosine/therapeutic use , Cerebrospinal Fluid/microbiology , Meningoencephalitis/diagnosis , Meningoencephalitis/drug therapy , Psychomotor Disorders/etiologyABSTRACT
É descrito um caso de hemicoreo-atetose aguda de etiologia vascular (hematomas da gânglia basal esquerda), seguido tardiamente por distonia de torçäo do tipo deformante e fixo durante o tratamento com butirofenoma, em uma paciente de 75 anos. A paciente era portadora de hipertensäo arterial e Diabetis mellitus, compensados clinicamente. O diagnóstico foi baseado na história clínica, exame neurológico e exames complementares (Radiografias do crânio, eletroencefalografia, líquido céfalo-raqueano e tomografia cerebral computadorizada)