Delayed onset acute hemiparesis in Japanese Encephalitis: A case report and literature review (อาการแขนขาซีกซ้ายอ่อนแรงเฉียบพลันที่เกิดตามหลังโรคไข้สมองอักเสบเจอี: รายงานผู้ป่วย 1 ราย)

Abstract

Japanese encephalitis remains an important public health burden in Thailand despite japanese encephalitis vaccine has been employed in the Expanded Program of Immunization (EPI). Acute stroke or hemiparesis was an atypical feature in japanese encephalitis. We report a case of japanese encephalitis proven by demonstration of specific IgM antibody against JEV in serum with delayed presentation of left hemiparesis. No remarkably structural abnormality of brain parenchyma was detected by computer tomography (CT) and magnetic resonance imaging (MRI). With supportive treatment and physical rehabilitation, this patient has returned to fully normal neurological function.