Title:

A parkinsonian syndrome in the course of subacute encephalitis

Creator:

Mossakowski, Mirosław Jan (1929–2001) ; Mathieson, G.

Publisher:

Lancet Publications, Inc.

Place of publishing:

Minneapolis

Date issued/created:

1961

Type of object:

Journal/Article

Subject and Keywords:

parkinsonian syndrome ; encephalitis

Abstract:

element of the clinical picture of the subacute encephalitides of van Bogaert, Dawson, and Pette and Döring types.1-6 They occur in the second phase of the disease, diminishing gradually with the increase of generalized decorticate rigidity which is typical of the terminal stage. These extrapyramidal syndromes usually take the form of simple or complex hyperkinesias. Muscle hypertonus is probably also partly extrapyramidal in origin during the second stage of the illness. Despite the remarkable variability of extrapyramidal syndromes occurring with the subacute encephalitides, a parkinsonian syndrome is rare. In the literature dealing with these 3 types of subacute encephalitis, we found only 1 case in which a parkinsonian syndrome temporarily dominated the clinical picture.7We consider the following case of subacute sclerosing leukoencephalitis of van Bogaert interesting in that, during one phase of the disease, the patient showed a prominent parkinsonian syndrome. At one time, this was so dominant that the first diagnostic impression was “postencephalitic parkinsonism.” However, the further course of the illness, including the development of a hyperkinetic syndrome characterized by rhythmic myoclonic jerks, and additional examinations such as electroencephalography and brain biopsy led to a correct diagnosis being established during the patient’s life.

Relation:

Neurology

Volume:

11

Issue:

6

Start page:

461

End page:

469

Resource type:

Text

Detailed Resource Type:

Article (offprint)

Format:

pdf

Language:

eng

Rights:

Creative Commons Attribution BY 4.0 license

Terms of use:

Copyright-protected material. [CC BY 4.0] May be used within the scope specified in Creative Commons Attribution BY 4.0 license, full text available at: ; -

Digitizing institution:

Mossakowski Medical Research Institute PAS

Original in:

Library of the Mossakowski Medical Research Institute PAS

Projects co-financed by:

Operational Program Digital Poland, 2014-2020, Measure 2.3: Digital accessibility and usefulness of public sector information; funds from the European Regional Development Fund and national co-financing from the state budget.

Access:

Open