The Cerebellum and CNS Infection

Cohen, Bruce A.; Lipton, Howard L.

doi:10.1007/978-1-4613-9698-7_11

Cited by 6 publications

(1 citation statement)

References 78 publications

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“…Some encephalitides, such as the arthropodborne Japanese B encephalitis, have a predilection for the basal ganglia (23). Subacute cerebellar syndromes may result from several latent viral infections, including progressive multifocal leukoencephalopathy, subacute sclerosing panencephalitis, and a late rubella panencephalitis (24). The patient is too old for subacute sclerosing panencephalitis, however, and the neuroimaging is not compatible with the other diagnoses.…”

Section: Figmentioning

confidence: 99%

Progressive cognitive decline with truncal/limb ataxia and ballistic movements

et al. 1997

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A 71-year-old right-handed man noted the insidious onset of balance abnormalities 9 months prior to his initial admission at a local community hospital. During that time, he also exhibited slurred speech and unusual behaviors, including violent outbursts. The patient's gait abnormalities worsened more rapidly over the 5 months immediately preceding his initial hospitalization, and he endured numerous falls despite using a cane. Two months prior to his hospitalization, he experienced daily nausea with vomiting and visual difficulties followed by a further precipitous decline in his functional status. At the time of his first admission, the patient's family reported that his thoughts were so disorganized that he was unable to maintain a cohesive conversation. Additionally, they noted that he had not been able to stand or sit independently for the previous 6 to 8 weeks, and had nearly constant involuntary flinging movements of his arms, legs, and trunk. Because of these motor difficulties and mental changes, he required assistance with feeding, dressing, and his daily hygiene. He was evaluated by a local neurologist who prescribed haloperidol up to 12 mg/day, which resulted in partial control of the involuntary movements and aggressive outbursts. On transfer to the university hospital, his medications included haloperidol, diltiazem, furosemide, potassium chloride, nitropaste, isosorbide, aspirin, and omeprazole. The patient had not received any other medications during the previous year.His medical history was significant for insulin-dependent diabetes, hypertension, congestive heart failure, and emphy-A videotape accompanies this article.

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Section: Figmentioning

confidence: 99%

Progressive cognitive decline with truncal/limb ataxia and ballistic movements

et al. 1997

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Wolf-Rayet Stars in the Magellanic Clouds

Smith¹

1991

The Magellanic Clouds

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Cerebellar encephalitis in adults

et al. 1993

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We examined 11 adult patients with cerebellar encephalitis (CE) during the acute phase of the disease and at least 12 months later. Five patients were aged between 23 and 31 years, 3 patients between 43 and 44 years and 3 patients between 60 and 64 years. Serological tests gave evidence of Epstein-Barr virus infection in 4 of the 5 young patients. Two patients had serological evidence of varicella-zoster virus reactivation, whereas the serological findings were negative in all other cases. All patients in the younger and middle age groups recovered within 3-30 weeks after onset of CE. If at all, they had only minor cerebellar deficits at the follow-up examination. Magnetic resonance imaging (MRI) examination performed at the follow-up examination was normal in all of them. In contrast, 2 of 3 patients older than 60 years had persistent cerebellar ataxia following CE. In these patients, MRI revealed infratentorial atrophy. Our data show that the clinical spectrum of CE in adults is wider than assumed so far. In addition to typical cases of CE in young male patients with good recovery, CE may also occur in older patients and give rise to persistent cerebellar ataxia.

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The Cerebellum and CNS Infection

Cited by 6 publications

References 78 publications

Progressive cognitive decline with truncal/limb ataxia and ballistic movements

Progressive cognitive decline with truncal/limb ataxia and ballistic movements

Wolf-Rayet Stars in the Magellanic Clouds

Cerebellar encephalitis in adults

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