A Rare Case of Bickerstaff Brainstem Encephalitis in a Child: Challenges in Diagnosis and Treatment

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Dr Roshni R; Dr Sugata Mahapatra; Dr Rupanagudi Tanvi; Dr Palakurthi Jaya Sri

A Rare Case of Bickerstaff Brainstem Encephalitis in a Child: Challenges in Diagnosis and Treatment

Authors: Dr Roshni R, Dr Sugata Mahapatra, Dr Rupanagudi Tanvi, Dr Palakurthi Jaya Sri

Unique Paper ID: 174301
Volume: 11
Issue: 10
PageNo: 3459-3461

Keywords: No Keywords Found

Abstract:
Background: Bickerstaff brainstem encephalitis (BBE) is a rare, immune-mediated neurological disorder characterized by ophthalmoplegia, ataxia, and altered consciousness. It shares clinical and pathophysiological similarities with Miller Fisher syndrome and Guillain-Barré syndrome, posing diagnostic challenges in pediatric cases. Case Presentation: A 5-year-old male presented with progressive neurological deterioration, including ophthalmoplegia, ataxia, and decreased consciousness. Initial investigations ruled out infectious and metabolic causes, while cerebrospinal fluid analysis and nerve conduction studies supported an immune-mediated process. MRI findings and antiganglioside antibody testing confirmed BBE. The child was managed with intravenous immunoglobulin and supportive care and followed up. Conclusion: BBE should be considered in pediatric patients presenting with acute brainstem dysfunction. Early recognition, differentiation from other post-infectious neurological syndromes, and prompt immunotherapy are crucial for favorable outcomes.

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Cite This Article

ISSN: 2349-6002
Volume: 11
Issue: 10
PageNo: 3459-3461

A Rare Case of Bickerstaff Brainstem Encephalitis in a Child: Challenges in Diagnosis and Treatment

Available:https://ijirt.org/article?manuscript=174301

Impact Factor
8.01 (Year 2024)

UGC Approved
Journal no 47859

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