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Korean Journal of Neuromuscular Disorders ; 7 : 38 - 40, June 2015
Flaccid Quadriplegia in Japanese Encephalitis
Down
Bohee Kim, MD, Chaeyoung Lee, MD, Bhom Choi, MD, Juyoung Lee, MD, Yang-Ki Minn, MD, San Jung, MD, Seok-Beom Kwon, MD, Sung-Hee Hwang, MD
Department of Neurology, Hallym University Medical Center, Hallym University College of Medicine, Seoul, Korea

Japanese encephalitis is one of the causes of Guillain-Barré syndrome (GBS). It is not known
whether GBS after Japanese encephalitis is axonal or demyelinating type. We report a 68-year-old
man case with Japanese encephalitis who developed flaccid quadriplegia. Electrophysiologic study
revealed sensorimotor polyneuropathy. And two consecutive electrophysiologic studies had
confirmed the motor and sensory axonal neuropathy with improved state. This case suggests that
Guillain-Barré syndrome subtype after Japanese encephalitis may be axonal, and serial
electrodiagnostic study is needed to verify Guillain-Barré syndrome subtype.



KEYWORDS
Japanese encephalitis,
Flaccid quadriplegia,
Guillain-Barré syndrome

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