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Neurology 2003;61:836-838
© 2003 American Academy of Neurology
Brief Communications

Vasogenic edema in Bickerstaff’s brainstem encephalitis

A serial MRI study

S. Weidauer, MD, U. Ziemann, MD, C. Thomalske, MD, J. Gaa, MD, H. Lanfermann, MD and F. E. Zanella, MD

From the Institute of Neuroradiology (Drs. Weidauer, Gaa, Lanfermann, and Zanella) and Clinic of Neurology (Dr. Ziemann), University of Frankfurt, and Department of Neurology (Dr. Thomalske), Sankt Katharinen Hospital, Frankfurt, Germany.

Address correspondence and reprint requests to Dr. S. Weidauer, Institute of Neuroradiology, University of Frankfurt, Schleusenweg 2-16, D-60528 Frankfurt, Germany; e-mail: Weidauer{at}em.uni-frankfurt.de

The authors report serial MRI of a patient with Bickerstaff’s brainstem encephalitis (BBE), disclosing caudal migration of an initial upper midbrain lesion. High apparent diffusion coefficient values imply a vasogenic rather than cytotoxic edema as the cause of the hyperintense signal changes on T2-weighted images.




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