Abstract
Background: Chronic tick-borne encephalitis is a rare and not fully understood pathology in which the body is not able to completely get rid of the virus. The virus remains in the nervous system mainly in the motor structures, supporting the degenerative-inflammatory process in them. Clinical case description: A clinical case of a chronic form of tick-borne encephalitis, steadily progressing, in a young man with a completely intact cognitive sphere is described. Damage to the motor nuclei of the trunk, motoneurons of the anterior horns of the spinal cord led to gross bulbar disorders, severe diffuse muscle atrophy with difficulty in independent movement. Conclusion: The above observation of the amyotrophic form of tick-borne encephalitis reflects the remitting-progressive nature of the course for 1.5 years.
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