{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:04:13Z","timestamp":1756425853934,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>The authors report a case of dengue fever presenting with aseptic meningoencephalitis and developing subdural haematoma and pure motor quadriparesis due to axonal polyneuropathy. This 27-year-old female patient presented to us during the latter part of the dengue epidemic in India in 2010. She had mild thrombocytopaenia and subtle signs of capillary leak. Dengue-specific IgM antibody was positive. She presented initially with recurrent seizures. Initial CT scan of brain was normal with cerebrospinal fluid showing albuminocytologic dissociation. After 6 days, the patient developed quadriparesis with areflexia. MRI showed bilateral subdural haematoma with no evidence of spinal nerve root compression. The nerve conduction study showed evidence of axonal neuropathy. The patient\u2019s quadriparesis improved such that she was able to walk with support after 4 weeks with conservative management. This case report highlights a possible association between dengue and motor axonal neuropathy subtype of Guillain\u2013Barr\u00e9 syndrome.<\/jats:p>","DOI":"10.1136\/bcr.12.2010.3672","type":"journal-article","created":{"date-parts":[[2011,6,17]],"date-time":"2011-06-17T23:04:24Z","timestamp":1308351864000},"page":"bcr1220103672","source":"Crossref","is-referenced-by-count":8,"title":["Subdural haematoma and axonal polyneuropathy complicating dengue fever"],"prefix":"10.1136","volume":"2011","author":[{"given":"Madhukar","family":"Mittal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nirdesh","family":"Jain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,6,17]]},"reference":[{"key":"2025082804082610000_2011.jun16_1.bcr1220103672.1","unstructured":"WHO. World Health Organization Report of the Internal Consultation, 18-20 October 1999. Geneva: WHO, 2000."},{"key":"2025082804082610000_2011.jun16_1.bcr1220103672.2","unstructured":"WHO. First WHO Report on Neglected Tropical Diseases, 2010. http:\/\/www.who.int\/neglected_diseases\/2010report\/en\/index.html (31 May 2011)."},{"key":"2025082804082610000_2011.jun16_1.bcr1220103672.3","unstructured":"Sanguansermsri T Poneprasert B Phornphutkul B . Acute encephalopathy associated with dengue infection. Bangkok: Seameo Tromped 1976:10\u00e2\u0080\u009311."},{"key":"2025082804082610000_2011.jun16_1.bcr1220103672.4","doi-asserted-by":"publisher","DOI":"10.1007\/BF02859281"},{"key":"2025082804082610000_2011.jun16_1.bcr1220103672.5","first-page":"e340","article-title":"An unusual complication of dengue infection.","volume":"49","author":"Chien","year":"2008","journal-title":"Singapore Med J"},{"key":"2025082804082610000_2011.jun16_1.bcr1220103672.6","first-page":"948","article-title":"Guillain-Barre syndrome following dengue fever.","volume":"41","author":"Sulekha","year":"2004","journal-title":"Indian Pediatr"},{"key":"2025082804082610000_2011.jun16_1.bcr1220103672.7","first-page":"36","article-title":"The Guillain-Barr\u00c3\u00a9 syndrome following dengue fever.","volume":"48","author":"Esack","year":"1999","journal-title":"West Indian Med J"},{"key":"2025082804082610000_2011.jun16_1.bcr1220103672.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2008.03.011"},{"key":"2025082804082610000_2011.jun16_1.bcr1220103672.9","doi-asserted-by":"crossref","unstructured":"Kumar J Kumar A Gupta S . Dengue haemorrhagic fever: an unusual cause of intracranial haemorrhage. BMJ Case Reports 2009.","DOI":"10.1136\/bcr.2006.100909"},{"key":"2025082804082610000_2011.jun16_1.bcr1220103672.10","doi-asserted-by":"publisher","DOI":"10.1159\/000180305"},{"key":"2025082804082610000_2011.jun16_1.bcr1220103672.11","first-page":"357","article-title":"Acute pure motor quadriparesis: is it dengue myositis?","volume":"45","author":"Kalita","year":"2005","journal-title":"Electromyogr Clin Neurophysiol"},{"key":"2025082804082610000_2011.jun16_1.bcr1220103672.12","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.68657"},{"key":"2025082804082610000_2011.jun16_1.bcr1220103672.13","doi-asserted-by":"publisher","DOI":"10.1126\/science.3277268"},{"key":"2025082804082610000_2011.jun16_1.bcr1220103672.14","first-page":"370","article-title":"Emergence of dengue virus type-3 in northern India.","volume":"36","author":"Dash","year":"2005","journal-title":"Southeast Asian J Trop Med Public Health"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.12.2010.3672","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:08:34Z","timestamp":1756379314000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.12.2010.3672"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,6,17]]},"references-count":14,"alternative-id":["10.1136\/bcr.12.2010.3672"],"URL":"https:\/\/doi.org\/10.1136\/bcr.12.2010.3672","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2011,6,17]]}}}