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J Korean Neurol Assoc. 2011;29(1):45-47.
Japanese Encephalitis Associated with Flaccid Quadriplegia
Hyo Jin Kim
Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
이완사지마비를 동반한 일본뇌염
김효진, 이민환 김연정 이상암
울산대학교 의과대학 신경과학교실
Abstract
Japanese encephalitis is the one of the leading causes of viral encephalitis in Asia. We report on a 56-year-old man with Japanese encephalitis with an unusual manifestation of flaccid quadriplegia. Brain MRI revealed bilateral lesions in the thalamus, midbrain, and medial temporal lobe. Cervical MRI revealed lesion in the bilateral anterior spinal cord. Electromyography revealed active denervation in all four limbs and paraspinal muscles, suggesting a diffuse anterior-horn cell lesion. We report a patient with Japanese encephalitis accompanied by flaccid quadriplegia. Key Words: Japanese encephalitis, Flaccid quadriplegia

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