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A parkinsonian syndrome in the course of subacute encephalitis
Creator:Mossakowski, Mirosław Jan (1929–2001) ; Mathieson, G.
Publisher: Place of publishing: Date issued/created: Type of object: 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: Volume: Issue: Start page: End page: Resource type: Detailed Resource Type: Format: Language: 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
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