Drowsiness – BBE 4 Vertigo, vomiting Drowsiness Gross flaccid – BBE with overlapping GBS 5 Headache, malaise Drowsiness – Absent Equivocal – BBE 6 Malaise, fever, vomiting Drowsiness – – Brainstem encephalitis 7 Headache, malaise, vomiting Drowsiness [doi.org]

Whipple's disease. Listeria rhombencephalitis. Vasculitis due to systemic lupus erythematosus (SLE). Acute disseminated encephalomyelitis. [patient.info]

BACKGROUND AND PURPOSE: Fisher syndrome (FS) may overlap with Guillain-Barré syndrome (GBS), in particular the pharyngeal-cervical-brachial variant form (PCB-GBS), or Bickerstaff brainstem encephalitis (BBE). [ncbi.nlm.nih.gov]

These include acute ophthalmoparesis and acute ataxic neuropathy, which represent the less extensive spectrum of the disease whereas pharyngeal-cervical-brachial weakness and Fisher syndrome overlap with Guillain-Barré syndrome represent the more extensive [scienceopen.com]

Continuous Spectrum of Pharyngeal-Cervical-Brachial Variant of Guillain-Barre Syndrome. JAMA 2007. 64(10): 1519-23. Sharma V. Bickerstaff’s brainstem encephalitis: can it recur? Journal of Clinical Neuroscience 2006. 12:277-299. [practicalneurology.com]

Isolated, unilateral cranial neuropathies are also reported, and in one study of 100 patients with isolated abducens palsy, 25% were positive for anti-GQ1b antibodies. 1 Pharyngeal-cervical-brachial weakness, affecting oropharyngeal, neck, and shoulder [ahcmedia.com]

Results Case reports Illustrative case of typical BBE Patient 1 A 29‐year‐old man experienced coughing and nasal discharge, which resolved in 7 days. [doi.org]

The purpose of this article is to heighten awareness of the potential for silent aspiration in patients with BBE. [ncbi.nlm.nih.gov]

Pavone P...Falsaperla R 2014 27 A pediatric case of Bickerstaff's brainstem encephalitis. ( 25653689 ) Park JY...Kim HJ 2014 28 Atypical Bickerstaff brainstem encephalitis: pitfalls of diagnosis. ( 23953997 ) Wakerley B.R....Yuki N. 2013 29 Silent aspiration [malacards.org]

There was upbeating nystagmus on upward gaze, and bilateral horizontal gaze‐evoked nystagmus. His pupils were dilated and light reflexes were absent. Bell’s phenomenon and oculocephalic reflexes were preserved. [doi.org]

mental status; and ataxia. [kjp.or.kr]

In addition to opthalmoplegia, and ataxia, altered mental status (74%), 2 bulbar palsy (34%) 1 and facial diplegia(45%) 2 have all also been noted in the literature. [nature.com]

She had positive Romberg sign and failed the right heel-knee-tibia tests. Her brain diffusion-weighted magnetic resonance imaging (DWI) showed an abnormally high circular signal in the brainstem surrounding the fourth ventricle. [ncbi.nlm.nih.gov]

He also developed ballism-like involuntary movements in all extremities, loss of proprioception predominantly on the left, and severe truncal ataxia. [jstage.jst.go.jp]

Lower extremities remained largely flaccid with absent deep tendon reflexes and Babinski reflexes bilaterally. Discharge ASIA exam demonstrated T6 ASIA impairment scale A paraplegia. [nature.com]

In addition to Patient 2 described in the case reports, two patients died, one of sudden cardiopulmonary arrest and the other of haemorrhagic infarction, a complication in the right cerebrum caused by candida meningitis. [doi.org]

F-waves and soleus H-reflexes), and brainstem auditory evoked potentials (prolongation of wave I latency) suggested peripheral abnormalities. [ncbi.nlm.nih.gov]