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Journal Article
In need of something better than sleep
2013
Overview
Follow-up MRI of the brain showed symmetrical tiny lesions in the bilateral substantia nigra (figure B), with mild diffuse cerebellar and brainstem atrophy. 18FP-CIT PET study showed a reduced uptake in the bilateral putamen, more pronounced on the left (figure C). Post-encephalitic parkinsonism is a rare condition described in patients with encephalitis by the Japanese B virus, St Louis virus, West Nile virus, and HIV, and also in patients with encephalitis lethargica.1 It may develop in the acute phase of encephalitis, improving with time, or develop as a delayed form, possibly through immune mechanisms.2 Antiparkinsonian treatment, including levodopa, is usually very effective in both conditions.
Publisher
Elsevier Ltd,Elsevier,Elsevier Limited
