Stimulus-sensitive myoclonus and cerebellar ataxia following chikungunya meningoencephalitis

Autor(es): Kalita J, Kumar P, Misra U K


Resumo: Chikungunya virus was initially thought to be a non-neurotropic virus, but recently neurological complications have been reported in patients with chikungunya virus infection. Here, we report a rare case of stimulus-sensitive myoclonus following chikungunya meningoencephalitis. The cranial MRI scan of the patient was normal, the cerebrospinal fluid contained 200 lymphocytes/mm(3), - the serum immunoglobulin M ELISA was positive for chikungunya. The patient improved completely after 1 month of treatment. This case study illustrates that chikungunya virus should also be considered in a febrile patient with myoclonus, especially in an endemic area.


Palavras-Chave: Chikungunya; Meningoencephalitis; Cerebellar ataxia; Myoclonus; Movement disorder


Imprenta: Infection, v. 41, n. 3, p. 727-729, 2013


Identificador do objeto digital: 10.1007/s15010-013-0406-2


Descritores: Chikungunya virus - Pathogenesis ; Chikungunya virus - Proteins ; Chikungunya virus - Antibodies ; Chikungunya virus - Viral infections ; Chikungunya Virus - Virus ; Chikungunya virus - Chikungunya fever ; Chikungunya virus - Immunology


Data de publicação: 2013