Fulminant acute disseminated encephalomyelitis mimicking acute bacterial menigoencephalitis.

Abstract:

:Most patients with acute disseminated encephalomyelitis (ADEM) recover quickly under corticosteroid treatment and have a favourable long-term prognosis. We report on a young woman with acute onset of an extensive and solitary white-matter lesion in the left hemisphere. Fever, high pleocytosis and elevated protein in cerebrospinal fluid initially suggested bacterial meningoencephalitis. The patient died from brain herniation despite maximal conservative therapy. Histological changes in necropsy were consistent with the diagnosis ADEM. Treatment options of fulminant ADEM are discussed.

journal_name

Eur J Neurol

authors

Harloff A,Rauer S,Hofer M,Klisch J,Els T

doi

10.1111/j.1468-1331.2004.01015.x

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

67-9

issue

1

eissn

1351-5101

issn

1468-1331

pii

ENE1015

journal_volume

12

pub_type

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