{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:37:31Z","timestamp":1787017051415,"version":"build-2736575974"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Japanese encephalitis (JE) is an epidemic encephalitis characterised by altered sensorium, convulsions, headache, brainstem signs with pyramidal and extrapyramidal features. Immune-mediated manifestation as acute transverse myelitis (ATM) has not been previously reported in JE. We describe a 40-year-old man who presented with an acute onset quadriparesis with urinary retention, which was preceded by fever and headache 3\u2005weeks prior. He had elevated IgM titres against JE virus in serum and cerebrospinal fluid. MRI of cervico-thoracic spine demonstrated signal intensity alterations extending from C1 to D10 spinal segments. The patient was treated with intravenous methyl prednisolone for 5\u2005days. He regained normal power at 6\u2005months follow-up and repeat MRI study demonstrated complete resolution of the lesion. We conclude that in a case of JE, one should be vigilant for early diagnosis of possible complication as ATM, in which an early institution of immunomodulator therapy prevents adverse consequences.<\/jats:p>","DOI":"10.1136\/bcr-2012-007094","type":"journal-article","created":{"date-parts":[[2012,9,24]],"date-time":"2012-09-24T18:48:02Z","timestamp":1348512482000},"page":"bcr2012007094","source":"Crossref","is-referenced-by-count":28,"title":["Acute transverse myelitis following Japanese encephalitis viral infection: an uncommon complication of a common disease: Figure\u00a01"],"prefix":"10.1136","volume":"2012","author":[{"given":"Rajesh","family":"Verma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heramba Narayan","family":"Praharaj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tushar B","family":"Patil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prithvi","family":"Giri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2012,9,24]]},"reference":[{"key":"2025042703155968000_2012.sep21_1.bcr2012007094.1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.10.085233"},{"key":"2025042703155968000_2012.sep21_1.bcr2012007094.2","doi-asserted-by":"crossref","first-page":"517","DOI":"10.3855\/jidc.470","article-title":"Trend of Japanese encephalitis in North India: evidence from thirty-eight acute encephalitis cases and appraisal of niceties","volume":"3","author":"Saxena","year":"2009","journal-title":"J Infect Dev Ctries"},{"key":"2025042703155968000_2012.sep21_1.bcr2012007094.3","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-011-6118-6"},{"key":"2025042703155968000_2012.sep21_1.bcr2012007094.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-011-6131-9"},{"key":"2025042703155968000_2012.sep21_1.bcr2012007094.5","first-page":"55","article-title":"Clinical, radiological and neurophysiological spectrum of JEV encephalitis and other non-specific encephalitis during post-monsoon period in India","volume":"51","author":"Misra","year":"2003","journal-title":"Neurol India"},{"key":"2025042703155968000_2012.sep21_1.bcr2012007094.6","first-page":"208","article-title":"Respiratory paralysis as a presenting symptom in Japanese encephalitis\u2014a case report","volume":"43","author":"Tzeng","year":"1989","journal-title":"Zhonghua Yi Xue Za Zhi (Taipei)"},{"key":"2025042703155968000_2012.sep21_1.bcr2012007094.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2011.02.001"},{"key":"2025042703155968000_2012.sep21_1.bcr2012007094.8","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-007-6038-7"},{"key":"2025042703155968000_2012.sep21_1.bcr2012007094.9","first-page":"328","article-title":"Hemiplegia with dysarthria: an initial manifestation of Japanese encephalitis in a 4-year-old child","volume":"45","author":"Kumar","year":"2008","journal-title":"J Vector Borne Dis"},{"key":"2025042703155968000_2012.sep21_1.bcr2012007094.10","first-page":"251","article-title":"A rapid IgM antibody capture ELISA and its employ in the early diagnosis of Japanese encephalitis","volume":"3","author":"Zhang","year":"1989","journal-title":"Virology"},{"key":"2025042703155968000_2012.sep21_1.bcr2012007094.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.2007.00835.x"},{"key":"2025042703155968000_2012.sep21_1.bcr2012007094.12","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1111\/j.1600-0404.1997.tb00250.x","article-title":"Anterior horn cells are also involved in Japanese encephalitis","volume":"96","author":"Misra","year":"1997","journal-title":"Acta Neurol Scand"},{"key":"2025042703155968000_2012.sep21_1.bcr2012007094.13","first-page":"493","article-title":"Ultrastructural changes of mouse brain neurons infected with Japanese encephalitis virus","volume":"71","author":"Hase","year":"1990","journal-title":"Int J Exp Pathol"},{"key":"2025042703155968000_2012.sep21_1.bcr2012007094.14","doi-asserted-by":"publisher","DOI":"10.1007\/BF02915109"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-007094","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T06:16:07Z","timestamp":1745734567000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-007094"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,9,24]]},"references-count":14,"alternative-id":["10.1136\/bcr-2012-007094"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-007094","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9,24]]}}}