書誌事項
- タイトル別名
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- A Case of Japanese B Encephalitis with Lesions of Thalamus and Substantia Nigra Revealed by MRI.
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説明
We report a 6-year-old girl with Japanese B encephalatis.<BR>The initial symptoms were high fever, headache and vomiting. On the second day of illness, she developed hemiconvulsion and was admitted to our hospital.<BR>Physical examination demonstrated a stiff neck. C-reactive protein elevated to 22.7 mg/dl. CSF examination showed a marked increase in the cell count (10, 896/3 mm3). During the course of the treatment, she showed transient hemiparesis and dysphagia, followed by akinetic mutism lasting for about a month. The patient was left with severe cognitive and memory impairment and complex partial seizures but no motor dysfunction. Japanese B encephalitis was diagnosed by means of serological examination. Magnetic resonance imaging revealed cystic lesions in the medial and posterior thalamus and substantia nigra and severe atrophy of the hippocampus. Despite the involvement of substantia nigra, the patient had no parkinsonism. The cognitive impairment may in part be explained by the lesions in the medial and posterior thalamus.
収録刊行物
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- 脳と発達
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脳と発達 30 (4), 312-316, 1998
THE JAPANESE SOCIETY OF CHILD NEUROLOGY
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詳細情報 詳細情報について
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- CRID
- 1390001204554896256
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- NII論文ID
- 130004183258
- 10005660026
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- NII書誌ID
- AN0020232X
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- ISSN
- 18847668
- 00290831
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- PubMed
- 9695626
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- 本文言語コード
- ja
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- 資料種別
- journal article
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- データソース種別
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- JaLC
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可