[Disseminated encephalomyelitis. A study of 5 cases].
Five cases of acute disseminated encephalomyelitis (ADE) with a follow-up longer than 5 years are presented. The clinical picture, CT images, MR and laboratory tests, specially LCR and evoked potentials presented in a variable form. In two cases the symptoms were preceded by viral infection. The course was acute in one case while the other four evolved in a subacute form during weeks. In two patients a pseudotumoral pattern was observed in the CT and MR images leading to difficulties in the diagnosis. Clinical improvement was accompanied by a partial resolution of the lesions. Steroid treatment improved symptomatology in all the cases. Knowledge of this process may avoid the unnecessary practice of other, more aggressive tests.
Coret
F
F
Unidad de Neurología, Hospital Francisco de Borja de Gandía, Valencia.
Sevilla
T
T
Vílchez
J J
JJ
Poyatos
C
C
D000293:Adolescent; D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging / Q000503:physiopathology*; D001927:Brain Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D002555:Cerebrospinal Fluid / Q000737:chemistry; D002648:Child; D003937:Diagnosis, Differential; D004569:Electroencephalography; D004679:Encephalomyelitis / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D005260:Female; D006801:Humans; D007074:Immunoglobulin G / Q000276:immunology; D007962:Leukocytes / Q000276:immunology; D008279:Magnetic Resonance Imaging; D008297:Male; D011379:Prognosis; D011859:Radiography; D013256:Steroids / Q000627:therapeutic use
D007074:Immunoglobulin G; D013256:Steroids
Encefalomielitis diseminada. Estudio de una casuística.