A case of brainstem encephalitis treated with plasmapheresis

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Brain stem encephalitis is a rare disease, which can be triggered by infection, with
an unclear etiology, in which infectious and autoimmune mechanisms are thought
to play a role in the pathogenesis. Major clinical symptoms are ataxia, muscle
weakness and ocular and bulbar dysfunction. Its etiology can vary from infection
to autoimmune reasons. Listeria, enterovirus type 71 and Herpes simplex
virus are the most common infectious causes. It may also be caused by neurobehcets,
Bickerstaff’s encephalitis, autoimmune diseases such as multiple sclerosis
and paraneoplastic reasons. With those in mind, the underlying etiology is
unclear in most cases. Treatment is based on etiology. Immunosuppressive
treatment can be tried in brain stem encephalitis patients whose etiology can
not be made clear. In this case report, we present a case of brainstem encephalitis
which did not respond to the present treatment and was treated with
plasmapheresis.

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  • Recieved: 26.09.2017
  • Accepted: 27.11.2017
  • Published Online: 27.11.2017
  • Printed: 01.05.2018
  • DOI: 10.4328/JCAM.5390
  • Author: Nagehan Aslan, Didar Arslan, Dinçer Yıldızdaş, Emine Kocabaş, Özden Özgür Horoz
  • Identifier: J Clin Anal Med 2018;9(3): 235-8
  • Index Page: 235-8
  • How to Cite: Nagehan Aslan, Didar Arslan, Dinçer Yıldızdaş, Emine Kocabaş, Özden Özgür Horoz. A case of brainstem encephalitis treated with plasmapheresis. J Clin Anal Med. 2018;9(3):
  • Running Title: Plasmapheresis treatment for brainstem encephalitis
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