A case of remitting-relapsing Bickerstaff encephalitis is reported. The article focuses on its imaging findings and their significance when a clinical differentiation between Bickerstaff encephalitis and Miller-Fisher syndrome is attempted. Signs and symptoms may occasionally overlap. However, because Miller-Fisher syndrome is related to the peripheral nervous system and Bickerstaff encephalitis is a central disease, the recognition of brain stem hypointense lesions on T1-weighted images, which are hyperintense on T2-weighted sequences, could be a reliable tool when the clinical diagnosis is unclear.
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Mondéjar, R., Santos, J. & Villalba, E. MRI findings in a remitting-relapsing case of Bickerstaff encephalitis. Neuroradiology 44, 411–414 (2002). https://doi.org/10.1007/s00234-001-0733-3