A residual cystic lesion in acute disseminated encephalomyelitis.
We report a case of acute disseminated encephalomyelitis (ADEM) with a residual cystic lesion on MRI. This seemed to be induced by Japanese encephalitis vaccination. Despite complete clinical improvement with high-dose steroid therapy, the cystic lesion has persisted for 3 years on MRI. There have been no previous reports of residual cystic lesions in ADEM.
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Department of Paediatrics, Otsu Red Cross Hospital, Nagara, Japan. masumigo@mbox.kyoto-inet.or.jp
Imai
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D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001927:Brain Diseases / Q000150:complications / Q000175:diagnosis*; D002675:Child, Preschool; D003560:Cysts / Q000150:complications / Q000175:diagnosis*; D004672:Encephalitis, Japanese / Q000517:prevention & control; D004673:Encephalomyelitis, Acute Disseminated / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D022321:Japanese Encephalitis Vaccines / Q000009:adverse effects; D008279:Magnetic Resonance Imaging; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use
D000893:Anti-Inflammatory Agents; D022321:Japanese Encephalitis Vaccines; D011239:Prednisolone