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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886
EISSN: 0028-3886
Vol. 51, No. 3, 2003, pp. 397-398
Bioline Code: ni03130
Full paper language: English
Document type: Research Article
Document available free of charge

Neurology India, Vol. 51, No. 3, 2003, pp. 397-398

 en Hemiplegia: An initial manifestation of Japanese encephalitis
Nalini A, Arunodaya GR, Taly AB, Swamy HS, Vasudev MK


A 7-year-old boy from an area endemic to Japanese encephalitis (JE) manifested with acute febrile illness, left hemiplegia and preserved consciousness during the prodromal phase of illness. The child developed features of encephalitis 48 hours after the onset of hemiplegia. IgM MAC ELISA for JE virus revealed high titers in the serum and cerebrospinal fluid suggestive of JE. MRI of the brain showed asymmetrical bilateral thalamic hyperintense lesions on T2 weighted image, considered diagnostic of JE. Hemiplegia during the prodromal phase or as an initial symptom of JE is rather unusual.

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