Intravenous immunoglobulin therapy in acute disseminated encephalomyelitis.

Abstract:

:Three children ranging in age from 2 to 5 years with acute disseminated encephalomyelitis (ADEM) were successfully treated with high-dose intravenous immunoglobulin (IVIG). Their symptoms were somnolence, fever, headache, vomiting, and resting tremor. In all of these patients, it was difficult to distinguish the condition from viral encephalitis before analyzing the myelin basic protein. ADEM was diagnosed because of increased levels of myelin basic protein in their cerebrospinal fluid and abnormal high-signal intensity on T2-weighted magnetic resonance imaging. All patients were given IVIG at a dose of 400 mg/kg/day for 5 consecutive days. The patients rapidly regained consciousness in 14 hours, 2 days, and 4 days and demonstrated a complete clinical improvement within 18 days, 10 days, and 7 days of the initiation of the treatment, respectively. IVIG may prove useful as an alternative treatment to corticosteroids for ADEM.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Nishikawa M,Ichiyama T,Hayashi T,Ouchi K,Furukawa S

doi

10.1016/s0887-8994(99)00042-9

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

583-6

issue

2

eissn

0887-8994

issn

1873-5150

pii

S0887899499000429

journal_volume

21

pub_type

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