Bilateral facial palsy as a manifestation of Japanese encephalitis

BMJ Case Rep. 2012 Jul 19:2012:bcr2012006555. doi: 10.1136/bcr-2012-006555.

Abstract

Japanese encephalitis is a cause of substantial morbidity and mortality, prevalent mainly in South East nations. It is caused by group B arbovirus and transmitted with bite of infected culex mosquitoes. The clinical features described are: headache, vomiting, altered sensorium, convulsions and both hypokinetic and hyperkinetic movement disorders. In this submission, we described a 68-year-old man suffering from Japanese encephalitis, who presented with bilateral facial palsy with encephalitic features. The bilateral facial palsy has not been reported previously in association with Japanese encephalitis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Dopamine Agonists / therapeutic use*
  • Encephalitis Virus, Japanese / isolation & purification*
  • Encephalitis, Japanese / complications*
  • Encephalitis, Japanese / diagnosis*
  • Encephalitis, Japanese / drug therapy
  • Encephalitis, Japanese / epidemiology
  • Facial Paralysis / diagnosis*
  • Facial Paralysis / drug therapy
  • Facial Paralysis / epidemiology
  • Fever / etiology
  • Glasgow Coma Scale
  • Humans
  • Immunoglobulin M / metabolism
  • India / epidemiology
  • Indoles / therapeutic use*
  • Male
  • Mental Disorders / etiology
  • Treatment Outcome
  • Vomiting / etiology

Substances

  • Dopamine Agonists
  • Immunoglobulin M
  • Indoles
  • ropinirole