RÉSUMÉ
A stomach cancer patient is reported, who presented with asterixis and dysarthria, after the administration of 5-fluorouracil derivatives, and progressed to a state of arnnesia and disorientation. At first impression was metastatic brain tumor however7 the result of a cerebrospinal fluid cytology for malignancy was negative, and magnetic resonance imaging study(MRI) revealed diffuse hyperintense lesion of the white matter, indicative of leukoencephalopathy. Upon discontinuing the drugs, patient recovered significantly.lly predominant muscle weakness from distal myopathy with rimmed vacuole formation While we present a young female.
Sujet(s)
Femelle , Humains , Tumeurs du cerveau , Liquide cérébrospinal , Myopathies distales , Dysarthrie , Dyskinésies , Fluorouracil , Leucoencéphalopathies , Imagerie par résonance magnétique , Faiblesse musculaire , Tumeurs de l'estomac , VacuolesRÉSUMÉ
Twenty-one patients of the adult Japanese encephalitis, who had been admitted in National Medical Center during recent two years, were investigated to evaluate their epidemiological features and clinical courses. Male patients were more frequently affected than female, and forty-three percepts of patients were third decade. The peripheral leukocytosis and mild pleocytosis and non specific inflammatory findings in cerebrospinal fluid were observed, all case had positive titer in hemoagglutination inhibition test. The incidence of neuropsychiatric sequelas of Japanese encephaltis was about 67%, and among them speech disturbance was most frequent. Further epidemiological and microbiological studies should be necessary to evaluate the tendency of recent increment in incidence of adult type of Japanese encephalitis.