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Case Reports
. 2011 May;3(2):109-12.
doi: 10.1159/000328836. Epub 2011 May 13.

Combined Striatum, Brain Stem, and Optic Nerve Involvement due to Mycoplasma pneumoniae in an Ambulatory Child

Jin-Won Bae  1 , Hak-Jin Kim, Gregory Youngnam Chang, Eun-Joo Kim
Affiliations
Case Reports

Combined Striatum, Brain Stem, and Optic Nerve Involvement due to Mycoplasma pneumoniae in an Ambulatory Child

Jin-Won Bae et al. Case Rep Neurol. 2011 May.

Abstract

In children, Mycoplasma pneumoniae encephalitis has been characterized by acute onset of an encephalopathy associated with extrapyramidal symptoms and symmetric basal ganglia with or without brain stem involvement on magnetic resonance imaging. Our case, showing unilateral optic neuritis, ophthalmoplegia, no extrapyramidal symptoms, and typical striatal involvement on magnetic resonance imaging, broadens the spectrum of varying clinical manifestations of childhood M. pneumoniae-associated encephalopathy.

Keywords: Basal ganglia; Mycoplasma pneumonia; Optic neuritis.

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Figures

Fig. 1
Fig. 1
a Initial axial FLAIR images demonstrate marked high-signal intensity in the right cerebellum, brain stem, left optic nerve (arrow), bilateral basal ganglia and thalamus. b Follow-up FLAIR images at 2 weeks after treatment show decreased high-signal intensities compared to those of the previous images.
See this image and copyright information in PMC

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