[An Adult Case of Enterovirus D68 Encephalomyelitis Presenting as Bilateral Facial Nerve Palsy and Dysphagia].
Mind Nerve. 2017 Aug;69(eight):957-961
Authors: Kusabe Y, Takeshima A, Seino A, Nishida M, Takahashi M, Yamada S, Shimbo J, Sato A, Okamoto Okay, Igarashi S
A 33-year-old man was admitted to our hospital with bilateral facial nerve paralysis, dysphagia, and muscle weak point within the neck and trunk following fever, headache and throat ache. T<sub>2</sub>-weighted mind magnetic resonance imaging (MRI) confirmed hyperintense lesions within the tegmentum of the mind stem and the ventral area of the superior cervical twine. Based mostly on the attribute findings on the mind MRI, we identified the affected person with enteroviral encephalomyelitis. Steroid remedy was administered; nonetheless, his bilateral facial nerve paralysis and dysphagia had been refractory to this remedy. Subsequently, enterovirus D68 was detected within the serum utilizing polymerase chain response (PCR) evaluation. At the moment, an outbreak of enteroviral D68 an infection was reported in Japan. Lastly, we identified encephalomyelitis brought on by enteroviral D68 an infection. Attribute MRI findings had been very helpful in narrowing down the differential analysis on this affected person. (Obtained March three, 2017; Accepted April 20, 2017; Revealed August 1, 2017).
PMID: 28819079 [PubMed – indexed for MEDLINE]