Brainstem encephalitis caused by Coxsackie A16 virus in a rituximab-immunosuppressed patient.

Rituximab and other B cell depleting agents are increasingly used for haematological, immunological and neurological diseases. In a small minority, immunosuppression leads to increased virulence of normally mild infections. Brainstem encephalitis has been described occurring after infection from enteroviruses, more commonly in the paediatric population, but also in immunosuppressed adults.

The Program Without Walls: innovative approach to state agency vocational rehabilitation of persons with traumatic brain injury.

Objective: To describe the Program Without Walls (PWW), a person-centered, community-based approach for state rehabilitation counselors to provide vocational rehabilitation (VR) services to people with traumatic brain injury (TBI).

Design: Nonrandomized posttest only matched control group design using existing state VR data.

Setting: Community-based within 2 district offices of the state-federal VR program in New York State.