SUCCESSFUL TREATMENT OF ACUTE DISSEMINATED ENCEPHALOMYELITIS (ADEM) BY PROMPT USAGE OF IMMUNOGLOBULINS - CASE REPORT AND REVIEW OF THE LITERATURE.

Abstract:

:Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disease of the central nervous system that usually affects children and young adults. It most commonly has a monophasic course, although relapses are reported. Clinical presentation of the disease includes encephalopathy and multifocal neurological deficits. There are no established reliable criteria for diagnosis of ADEM and sometimes it is difficult to distinguish it from first attack of multiple sclerosis, especially in adults. The diagnosis of ADEM is based on clinical, radiological and laboratory findings. In the treatment of ADEM, high doses of corticosteroids, plasmapheresis and immunoglobulins are used. We report a case of a young adult female patient with ADEM who fully recovered after prompt administration of high dose methylprednisolone and immunoglobulins.

journal_name

Acta Clin Croat

journal_title

Acta clinica Croatica

authors

Repić-Buličić A,Filipović-Grčić P,Jadrijević E,Jurinović P,Titlić M

doi

10.20471/acc.2019.58.01.22

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

173-179

issue

1

eissn

0353-9466

issn

1333-9451

pii

acc-58-173

journal_volume

58

pub_type

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