Kumar Ashok
Department of Neurology, Indira Gandhi Institute of Medical Sciences, Patna 800014.
J Indian Med Assoc. 2010 Aug;108(8):525, 527.
A 16-year-old boy presented with febrile encephalopathy with meningeal signs, abnormal eye movements and extrapyramidal features. Clinical impression was meningo-encephalitis due to infective aetiology. He was diagnosed as a case of Japanese encephalitis. MRI brain revealed bilateral, symmetrical hyperintensities of substantia nigra. This neuro-imaging finding is very rarely reported in Japanese encephalitis.
一名16岁男孩出现发热性脑病，伴有脑膜刺激征、异常眼球运动和锥体外系症状。临床诊断为感染性病因所致的脑膜脑炎。他被诊断为乙型脑炎病例。脑部磁共振成像（MRI）显示双侧黑质对称性高信号。这种神经影像学表现在乙型脑炎中很少有报道。
