Efficacy of early plasmapheresis in Bickerstaff's encephalitis

Intern Med. 1998 Nov;37(11):986-9. doi: 10.2169/internalmedicine.37.986.

Abstract

Double filtration plasmapheresis (DFPP) was performed in a patient with Bickerstaff's brainstem encephalitis (BBE) in its early phase. He was a 27-year-old male patient suffering from diplopia, facial palsy and drowsiness following upper respiratory tract infection, and had high titers of immunoglobulin G (IgG) antibodies against ganglioside NeuAc(alpha)2-8NeuAc(alpha)2-3Gal(beta)1-3GalNAc(beta)1-4(NeuAc(al pha)2-8NeuAc(alpha)2-3)Gal(beta)1-4Glc(beta)1-1'Cer (GQ1b) in the serum. DFPP effected immediate improvement of his drowsiness, supporting the diagnosis of BBE. Our observations suggest that DFPP during the early phase of BBE efficiently prevents the progression of consciousness disturbances.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain / pathology
  • Brain Stem / pathology*
  • Diplopia / diagnosis
  • Diplopia / etiology*
  • Diplopia / therapy
  • Encephalitis / diagnosis
  • Encephalitis / etiology
  • Encephalitis / therapy*
  • Facial Paralysis / diagnosis
  • Facial Paralysis / etiology*
  • Facial Paralysis / therapy
  • Follow-Up Studies
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Plasmapheresis*
  • Respiratory Tract Infections / complications
  • Sleep Stages