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Revista de neurologia · Jun 2001
Case Reports[Can acute disseminated encephalomyelitis progress in a deferred way?].
- B Gener, C Garaizar-Axpe, C Ruiz Espinosa, and J M Prats-Viñas.
- Hospital de Cruces, Baracaldo, 48903, España.
- Rev Neurol. 2001 Jun 16;32(12):1132-5.
ObjectiveTo report on the heterogeneity with regard to the clinical course of the acute disseminated encephalomyelitis (ADEM).Case ReportA 5 year old boy suffered of acute disseminated encephalomyelitis of unknown origin. This child suffered two episodes of different neurologic symptoms separated by several weeks. Based on the clinical manifestations and typical appearance of magnetic resonance imaging findings and the absence of oligoclonal bands in CSF immunoglobulins, multiple sclerosis (MS) was ruled out.ConclusionWe postulate that the recurrent symptoms in our patient could be explained as a multiphasic disseminated encephalomyelitis (MDEM). Favourable outcome after simultaneous treatment with methylprednisolone and intravenous immunoglobulin is emphasized in this report.
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