FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 357:589-600 August 9, 2007 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text PowerPoint Slide Set Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

Presentation of Case

A 20-year-old pregnant woman was admitted to this hospital at 26 weeks of gestation because of dizziness, confusion, and difficulty walking.

Ten weeks before admission, the patient had a positive result on a home pregnancy test and presented to a neighborhood health center for prenatal screening. Tests for sickle cell trait, syphilis, and human immunodeficiency virus (HIV) and hepatitis B and C virus antibodies were negative. Serologic tests for varicella–zoster virus and rubella IgG were positive. Two weeks later, an endocervical specimen was positive for Chlamydia trachomatis infection and negative for gonorrhea. The patient missed follow-up appointments, and treatment with . . . [Full Text of this Article]

Differential Diagnosis

Cerebrospinal Fluid Examination

Electroencephalographic Studies

Disorders of Movement

Acute Viral Encephalitis

Subacute Encephalitides

            Paraneoplastic Encephalitis

            Postinfectious Encephalitis

Subacute Sclerosing Panencephalitis

Discussion of Management

Dr. Andrew J. Cole's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Neurology Service (A.J.C., J.W.H., M.P.F.) and the Departments of Radiology (J.W.H.) and Pathology (M.H.A.R., M.P.F.), Massachusetts General Hospital; and the Departments of Neurology (A.J.C., J.W.H.) and Pathology (M.H.A.R., M.P.F.), Harvard Medical School.

This article has been cited by other articles:

• ROSENAU, B. J., SCHUR, P. H. (2009). Association of Measles Virus with Rheumatoid Arthritis. The Journal of Rheumatology 36: 893-897 [Abstract] [Full Text]  
• Faivre, A., Souraud, J.-B., McGonigal, A., Alla, P., Grapperon, J., Valance, J. (2009). Fulminant adult-onset subacute sclerosing panencephalitis. BMJ Case Reports 2009: bcr0920080922-bcr0920080922 [Abstract] [Full Text]