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Bickerstaff's brainstem encephalitis associated with ulcerative colitis.

Miyuki Yamamoto¹, Ryota Inokuchi, Kensuke Nakamura

¹Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Tokyo, Japan.

BMJ Case Reports

|September 25, 2012

Summary

This summary is machine-generated.

Bickerstaff

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Area of Science:

Neurology
Immunology

Background:

Ulcerative colitis (UC) patients are at higher risk for neurological complications.
Campylobacter infections are a known trigger for Bickerstaff's brainstem encephalitis (BBE).

Observation:

A 25-year-old Japanese male with UC presented with cold and digestive symptoms, followed by ascending hypoesthesia and altered consciousness.
Physical examination revealed diminished reflexes and positive anti-GQ1b antibodies in cerebrospinal fluid.

Findings:

The patient was diagnosed with Bickerstaff's brainstem encephalitis (BBE), a rare neurological disorder.
Treatment with plasmapheresis led to symptom improvement and discharge within one month.

Implications:

Bickerstaff's brainstem encephalitis (BBE) should be considered in the differential diagnosis for ulcerative colitis patients experiencing consciousness disturbances.
Early recognition and treatment of BBE are crucial for favorable outcomes in susceptible populations.