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J Neurol Neurosurg Psychiatry 2003;74:1432-1434 doi:10.1136/jnnp.74.10.1432
  • Short report

Brain lesions in the course of generalised tetanus

  1. T Ijichi1,
  2. T Yamada2,
  3. S Yoneda2,
  4. Y Kajita2,
  5. K Nakajima3,
  6. M Nakagawa3
  1. 1Department of Neurology Nantan General Hospital, Kyoto, Japan
  2. 2Department of Internal Medicine, Nantan General Hospital, Japan
  3. 3Department of Neurology, Kyoto Prefectural University of Medicine,Kyoto, Japan
  1. Correspondence to:
 Dr T Ijichi
 Department of Neurology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan; tijichikoto.kpu-m.ac.jp

    Abstract

    A 47 year old woman developed left hemiparesis primarily affecting the lower limbs during the course of severe generalised tetanus. MRI on the 82nd hospital day revealed cortical and subcortical lesions predominantly in the right frontal and parietal lobes in addition to marked brain atrophy. Three months later, the enhancing lesions were still present on follow up MRI. We postulate that structures above brainstem may be involved in severe generalised tetanus.

    Footnotes

    • Competing interests: none declared

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