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Keywords = non-herpetic acute limbic encephalitis

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5 pages, 806 KiB  
Case Report
A Discrepancy between Clinical Course and Magnetic Resonance Imaging in a Case of Non-Herpetic Acute Limbic Encephalitis
by Naoto Kohno, Yuko Kawakami, Chizuko Hamada, Genya Toyoda, Hirokazu Bokura, Shuhei Yamaguchi and Yukitoshi Takahashi
Neurol. Int. 2013, 5(2), e8; https://doi.org/10.4081/ni.2013.e8 - 25 Jun 2013
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Abstract
We report the case of a 64-year old man who presented memory disturbance, low-grade fever, weight loss, and bilateral hand tremors for three months. He was diagnosed with non-herpetic acute limbic encephalitis (NHALE). Follow-up magnetic resonance imaging (MRI) revealed new lesions after symptomatic [...] Read more.
We report the case of a 64-year old man who presented memory disturbance, low-grade fever, weight loss, and bilateral hand tremors for three months. He was diagnosed with non-herpetic acute limbic encephalitis (NHALE). Follow-up magnetic resonance imaging (MRI) revealed new lesions after symptomatic improvement following steroid pulse therapy. This may indicate that there is a time lag between the disturbance or recovery of neurons and astrocytes. Thus, other lesions might occasionally appear during convalescence in patients with NHALE, even if only minimal lesions were found on the initial MRI. Full article
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