Acute disseminated encephalomyelitis following meningoencephalitis: case report and literature review.
Pediatr Emerg Care
; 30(4): 254-6, 2014 Apr.
Article
en En
| MEDLINE
| ID: mdl-24694880
ABSTRACT
Meningoencephalitis and acute disseminated encephalomyelitis (ADEM) are both neurological disease processes, but there have been few cases of meningoencephalitis progressing to ADEM in the pediatric population. A case of a 4-year-old girl with an initial diagnosis of meningoencephalitis is presented here, whose initial presentation was manifested by prolonged fever, gray matter signal abnormality on brain magnetic resonance imaging, cerebrospinal fluid pleocytosis, and a markedly irritable mental status. As her neurological examination changed with focal abnormalities, a repeat magnetic resonance imaging demonstrated new areas of both gray and white matter signal abnormality, consistent with ADEM. Her symptoms and imaging findings completely resolved with a course of methylprednisolone. Based on the literature and this current case, it is our recommendation to consider ADEM as a diagnosis if meningoencephalitis is not improving.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Encefalomielitis Aguda Diseminada
/
Meningoencefalitis
Tipo de estudio:
Diagnostic_studies
/
Guideline
/
Systematic_reviews
Límite:
Child, preschool
/
Female
/
Humans
Idioma:
En
Revista:
Pediatr Emerg Care
Asunto de la revista:
MEDICINA DE EMERGENCIA
/
PEDIATRIA
Año:
2014
Tipo del documento:
Article
País de afiliación:
Panamá