Abstract
Post-malaria neurological syndrome (PMNS) is an uncommon, monophasic illness that
occurs within two months following recovery from Plasmodium falciparum (Pf) malaria. Clinical manifestations of PMNS are variable, but published cases uniformly
feature neurological and/or psychiatric symptoms without long tract signs. We describe
a case of severe brainstem and spinal cord inflammation with paraplegia and sphincter
involvement in a 48 year old woman following recovery from a Pf malarial illness. We propose that this
case represents a previously unreported form of PMNS, which has features that distinguish
it from acute disseminated encephalomyelitis, and that the recognised clinical spectrum
of PMNS should be extended to include brainstem and spinal cord inflammation.
Keywords
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Article info
Publication history
Published online: September 12, 2013
Accepted:
August 8,
2013
Received in revised form:
August 4,
2013
Received:
July 1,
2013
Identification
Copyright
© 2013 Elsevier B.V. Published by Elsevier Inc. All rights reserved.