Acute disseminated encephalomyelitis following meningoencephalitis: case report and literature review.

Abstract:

:Meningoencephalitis and acute disseminated encephalomyelitis (ADEM) are both neurological disease processes, but there have been few cases of meningoencephalitis progressing to ADEM in the pediatric population. A case of a 4-year-old girl with an initial diagnosis of meningoencephalitis is presented here, whose initial presentation was manifested by prolonged fever, gray matter signal abnormality on brain magnetic resonance imaging, cerebrospinal fluid pleocytosis, and a markedly irritable mental status. As her neurological examination changed with focal abnormalities, a repeat magnetic resonance imaging demonstrated new areas of both gray and white matter signal abnormality, consistent with ADEM. Her symptoms and imaging findings completely resolved with a course of methylprednisolone. Based on the literature and this current case, it is our recommendation to consider ADEM as a diagnosis if meningoencephalitis is not improving.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Elias MD,Narula S,Chu AS

doi

10.1097/PEC.0000000000000107

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

254-6

issue

4

eissn

0749-5161

issn

1535-1815

pii

00006565-201404000-00008

journal_volume

30

pub_type

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