Revista de neurologia
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Revista de neurologia · Jun 2001
Case Reports[Can acute disseminated encephalomyelitis progress in a deferred way?].
To report on the heterogeneity with regard to the clinical course of the acute disseminated encephalomyelitis (ADEM). ⋯ We 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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Revista de neurologia · Jun 2001
Case Reports[Spinal epidural abscess secondary to pharyngeal trauma due to food].
In recent years the incidence of spinal epidural abscesses has increased. Early diagnosis is very important, since once neurological deficit has become established this is often permanent. The commonest aetiological agent is Staphylococcus. Pain and fever are often the only symptoms before acute neurological deterioration. ⋯ The possibility of epidural infection must be remembered in patients with fever and nerve root pain. Early diagnosis and suitable treatment, combining both surgery and prolonged treatment with antibiotics, are essential to prevent permanent neurological damage.