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- Title
Acute Disseminated Encephalomyelitis: An Unusual Presentation.
- Authors
Rezai, Mohammad Sadegh; Bahari, Amir; Abbaskhanian, Ali
- Abstract
The acute disseminated encephalomyelitis (ADEM) is a rare, monophasic or multiphasic demyelinating disease influencing the central nervous system with almost unknown etiology. The diagnosis is based on clinical picture, supported by radiology and laboratory tests. The common therapeutic approach includes administrating corticosteroids, intravenous immunoglobulin (IVIG), and plasmapheresis. This paper reports a 24-month-old normal boy admitted with fever and vomiting preceded by intermittent irritability from two days earlier. We performed sonography while we were suspicious to invagination but found normal results. The patient had impaired consciousness, behavioral changes and irritability. He also had herpes lesions so he was treated with acyclovir. In the next day he had left esotropia. Lumbar puncture and electroencephalography were done which showed normal results. Then, MRI was performed and revealed ADEM. Intrvenous immunoglobulin (400 mg/kg) intravenously was started. At the end of the treatment he was afebrile with good general condition.
- Subjects
POSTVACCINAL encephalitis; DEMYELINATION; ETIOLOGY of diseases; INTRAVENOUS therapy; IMMUNOGLOBULINS; PLASMAPHERESIS; CONSCIOUSNESS; DIAGNOSIS
- Publication
Journal of Mazandaran University of Medical Sciences (JMUMS), 2012, Vol 22, Issue 94, p99
- ISSN
1735-9260
- Publication type
Article