HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Correspondence: Submit a response Alert me when this article is cited Alert me when Correspondence are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by SHIMIZU, N. Articles by YAHR, M. D. Search for Related Content PubMed PubMed Citation Articles by SHIMIZU, N. Articles by YAHR, M. D.

Downbeat nystagmus as a sign of brainstem involvement in acute meningoencephalitis

Department of Neurology, The Mount Sinai School of Medicine of the City University of New York, New York City.

Two cases of acute meningoencephalitis, presumably viral in origin, with brainstem involvement are reported. Common to both patients during the course of their illness was coma, downbeat nystagmus, and ataxia. Although both reached what appeared to be a terminal state, recovery began following treatment with corticosteroids. The significance of the neurologic signs, particularly the unusual occurrence of downbeat nystagmus, is discussed, as is the appropriate management of the disorder.

This study was supported in part by NIH grant 5 T01 NS 05072.

Received for publication October 4, 1974.

Reprint requests should be addressed to Dr. Yahr, Department of Neurology, The Mount Sinai School of Medicine, 100th Street and Fifth Avenue, New York, NY 10029.