<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022015000400204</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de Bickerstaff]]></article-title>
<article-title xml:lang="en"><![CDATA[Bickerstaff Syndrome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Subiros-Rojas]]></surname>
<given-names><![CDATA[Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vindas-Guerrero]]></surname>
<given-names><![CDATA[Sylvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bogantes-Ledezma]]></surname>
<given-names><![CDATA[Sixto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="A">
<institution><![CDATA[,  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2015</year>
</pub-date>
<volume>57</volume>
<numero>4</numero>
<fpage>204</fpage>
<lpage>206</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022015000400204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022015000400204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022015000400204&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:La encefalitis de Bickerstaff es una entidad infrecuente de origen post infeccioso de presentación grave, que pertenece al espectro de las patologías asociadas a los antigangliósidos, donde el paciente se presenta con compromiso subagudo de oftalmoplejia, ataxia, debilidad con signos piramidales y alteración del estado de conciencia con antecedentes recientes de infecciones respiratorias, gastrointestinales o ambas. Se reporta un caso de encefalitis de Bickerstaff presentado en el Hospital Nacional de Niños.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:Bickerstaff encephalitis is a rare and severe inflammatory disease with a serious presentation, which belongs to the spectrum of diseases associated with antiganglioside. Patients present a subacute ophthalmoplegia, ataxia, weakness with pyramidal signs and altered mental status with a recent history of respiratory infections, gastrointestinal infections or both. We report a case of Bickerstaff encephalitis that was diagnosed and treated at the Hospital Nacional de Niños (National Children's Hospital).]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[encefalitis de Bickerstaff]]></kwd>
<kwd lng="es"><![CDATA[tallo cerebral]]></kwd>
<kwd lng="es"><![CDATA[síndrome de Miller Fisher]]></kwd>
<kwd lng="es"><![CDATA[ataxia]]></kwd>
<kwd lng="en"><![CDATA[Bickerstaff encephalitis]]></kwd>
<kwd lng="en"><![CDATA[brain stem]]></kwd>
<kwd lng="en"><![CDATA[Miller Fisher]]></kwd>
<kwd lng="en"><![CDATA[ataxia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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