In:
BMJ Case Reports, BMJ, Vol. 16, No. 3 ( 2023-03), p. e254026-
Abstract:
This is a case of a previously healthy female in her fourties presenting with a subacute presentation of bilateral horizontal gaze restriction, with bilateral lower motor facial palsy. The patient’s daughter has type 1 diabetes. On investigation, the patient’s MRI revealed a lesion in the dorsal medial pons. Cerebrospinal fluid analysis revealed albuminocytological dissociation, with a negative autoimmune panel. The patient was treated with intravenous immunoglobulin, and methylprednisolone for a total of 5 days and showed mild improvement. The patient had raised serum antiglutamic acid decarboxylase (anti-GAD) levels, and the final diagnosis of GAD seropositive brain stem encephalitis was made.
Type of Medium:
Online Resource
ISSN:
1757-790X
DOI:
10.1136/bcr-2022-254026
Language:
English
Publisher:
BMJ
Publication Date:
2023
detail.hit.zdb_id:
2467301-8
