Pattern and Outcome of Acute Disseminated Encephalomyelitis (ADEM)
نویسندگان
چکیده
منابع مشابه
Measles with acute disseminated encephalomyelitis (ADEM).
We report a seven year old male with measles associated acute disseminated encephalomyelitis (ADEM) despite having received measles vaccination in infancy. The diagnosis was based on serum antimeasles antibodies and MRI brain. The patient was managed with high dose corticosteroids along with supportive measures. There was a complete neurologically and physica recovery.
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INTRODUCTION Acute disseminated encephalomyelitis (ADEM) is an immune mediated disease of the brain. Although it occurs in all ages, most reported cases are in children and adolescents. The aims of this study were to study the clinical pattern and outcome of ADEM in children in a tertiary center in Upper Egypt and to determine the effect of combined use of steroids and IVIg on outcome. METHOD...
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Acute disseminated encephalomyelitis (ADEM) is characterized by its rapid progression with variable symptoms and severity in adults and children. Multiple therapeutic options have been proposed, but solid evidence is yet to be gathered. We describe an adult man with a fulminant form of ADEM unresponsive to numerous treatment modalities.
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A 43-year old lady presented with progressive loss of vision in both eyes followed by rapid deterioration of consciousness within the next few days. This was preceded by a viral infection one week before her presentation. At presentation she had evidence of meningism and signs of bilateral upper motor neuron lesions and was managed initially as acute meningoencephalitis with antibiotics. The br...
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症 例 症例1:38歳,男 性.主 訴:意 識 障害.既 往 歴:10歳 気管 支喘息.家 族歴:父 が糖尿病 と大 腸癌.母 が糖 尿病 と胆嚢癌.現 病歴:2002年12 月末 より発熱,頭 痛があ り,翌 年1月 初旬 に尿 閉 と意識障害が出現 し当院を受診 し入院 となっ た.入 院時現症:体 温38.1度以 外は一般 身体所 見 に異常は なかった.意 識障害(JCS3)と 項部 硬直,両 下肢の腱 反射低下 を認めた.病 的反射 は陰性 であった.5日 後の歩行 は失調性で,両 下 肢の ジンジ ンした しびれ を訴え,Th7以 下の表 在感覚低 下 と尿 閉を呈 した.入 院時検査:WBC 6,400/μl,CRP0.9mg/dl.髄 液はキサ ン トクロ ミーを呈 し,細 胞数307/mm3(多 核球67,リ ン パ 球240),蛋 白204mg/dl,糖47mg/...
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ژورنال
عنوان ژورنال: The Egyptian Journal of Hospital Medicine
سال: 2019
ISSN: 2090-7125
DOI: 10.21608/ejhm.2019.23192