Republic of Korea
Case Report
A Case of Suspicious Encephalitis Lethargica Accompanied by Visual Acuity Decrement
Author(s): Joon Hyun Baek and Kee Hyung ParkJoon Hyun Baek and Kee Hyung Park
Encephalitis lethargica (EL) is a CNS disorder presenting with pharyngitis followed by sleep disorder, basal ganglia signs (particularly parkinsonism), and neuropsychiatric sequelae. It was first described in 1916, but only sporadic cases have been described since the 1916-1927. EL is a rare disease and difficult to confirm because no diagnostic criteria have been agreed. Its additional common features include oculogyric crises and ocular features (ophthalmoplegia and ptosis). However, no case of decreasing visual acuity has been previously reported. We report a case of EL with accompanying bilateral blindness. A 31-year-old female patient visited our emergency room complaining of a headache, fever, pharyngitis, and poor oral intake. After the fever and headache subsided, the patient experienced drowsiness and bilateral decreases in visual acuity. Brain magnetic resonance imaging (MRI.. Read More»
DOI:
10.4172/2329-6895.1000179
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