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Bilateral substantia nigra changes on MRI in a patient with encephalitis lethargica
1Department of Neurology, National Neuroscience Institute,Republic of Singapore, Singapore.
Neurology
|November 24, 1999
Abstract:
A 33-year-old woman admitted for meningoencephalitis had features of encephalitis lethargica develop on her third day of illness. She had ophthalmoplegia, akinetic mutism, and prominent extrapyramidal signs consisting of lip and hand tremors, cogwheel rigidity, and facial bradykinesia.