A 31-year-old male patient was admitted to the department of neurology for progressive spastic paraparesis and sen-sory deficit in bilateral lower legs. On review of system, he had decreased libido and mild urinary frequency. On neuro-logic examination, he showed paraparesis, lower limb hypesthesia, bilateral hyperactive knee jerk and bilateral positive Babinski sign. The nerve conduction studies were sensori-motor demyelinating polyneuropathy. For spastic paraparesis and peripheral neuropathy, we approached adrenomyeloneuropathy and ascertained elevated serum very long chain fatty acids (VLCFA) level. (J Korean Neurol Assoc 19(4):427~430, 2001)
Adrenoleukodystrophy* ; Adult ; Fatty Acids* ; Humans ; Hypesthesia ; Knee ; Leg ; Libido ; Lower Extremity ; Male ; Neural Conduction ; Neurology ; Paraparesis ; Paraparesis, Spastic ; Peripheral Nervous System Diseases ; Polyneuropathies ; Reflex, Babinski

The human rabies is a fatal infectious disease invading the central nervous system. There are many cases of clinically suspicious human rabies encephalitis in Korea since 1906. A 53-year old man was admitted to the Department of Neurology because of rapidly progressive dysphagia. His sputum was examined and the rabies virus was found by the polymerase chain reaction technique. So we report a case of human rabies encephalitis confirmed by detection of the rabies virus from his saliva.
Central Nervous System ; Communicable Diseases ; Deglutition Disorders ; Encephalitis ; Humans* ; Korea ; Middle Aged ; Neurology ; Polymerase Chain Reaction* ; Rabies virus ; Rabies* ; Saliva ; Sputum