Kwon Hyung-Min, Hong Yoon-Ho, Sung Jung-Joon, Paeng Jin Chul, Lee Dong Soo, Lee Kwang-Woo
Department of Neurology, Seoul National University Hospital, Seoul National University, College of Medicine, Yongon-dong 28, Chongno-gu, Seoul, South Korea.
Clin Neurol Neurosurg. 2006 Jun;108(4):418-20. doi: 10.1016/j.clineuro.2005.01.012.
Although the clinical manifestations such as drowsiness, brisk reflexes, extensor plantar responses and hemisensory disturbance usually are considered to suggest Bickerstaff's brainstem encephalitis (BBE) rather than Miller Fisher syndrome (MFS), the nosological relationship between BBE and MFS has yet to be established. Herein, we report upon a 58-year-old man who showed ophthalmoplegia, ataxia and consciousness disturbance. In the absence of any abnormality on brain MRI, electrophysiological studies and SPM analysis using (18)F-FDG PET showed evidence of brainstem and cerebellum involvements.
尽管诸如嗜睡、反射亢进、跖伸肌反应和偏身感觉障碍等临床表现通常被认为提示为巴洛氏脑干脑炎（BBE）而非米勒-费雪综合征（MFS），但BBE与MFS之间的疾病分类学关系尚未确立。在此，我们报告一名58岁男性，其出现眼肌麻痹、共济失调和意识障碍。在脑部MRI未发现任何异常的情况下，电生理研究以及使用（18）F-FDG PET的统计参数映射分析显示有脑干和小脑受累的证据。
