Atypical brainstem encephalitis: magnetic resonance imaging and oculographic features

Neurology. 1985 Mar;35(3):438-40. doi: 10.1212/wnl.35.3.438.

Abstract

A 50-year-old woman had primary position upbeating nystagmus, abnormalities of the lower cranial nerves, mild cerebellar signs, and CSF lymphocytosis. CT and MRI showed enlargement of the pons. Eye movement recordings revealed impaired pursuit and optokinetic nystagmus, and visual-vestibular interactions were absent. The patient improved spontaneously.

Publication types

  • Case Reports
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Brain Stem / pathology*
  • Encephalitis / diagnosis*
  • Encephalitis / diagnostic imaging
  • Encephalitis / physiopathology
  • Eye / physiopathology
  • Eye Movements
  • Female
  • Humans
  • Magnetic Resonance Spectroscopy*
  • Middle Aged
  • Nystagmus, Physiologic
  • Reflex / physiology
  • Saccades
  • Tomography, X-Ray Computed
  • Vestibule, Labyrinth / physiopathology