title: Decompressive aspiration in myelinoclastic diffuse sclerosis or Schilder disease. Case report.
abstract: This 9-year-old girl with rapidly progressive cerebral demyelinating disease presented with hemiplegia and intracranial hypertension. Brain images revealed four lesions with mass effect in the subcortical white matter of both hemispheres. Demyelination was found on pathological studies of these lesions. The patient experienced some recovery with corticosteroid treatment but improved completely with decompressive aspiration of the largest lesion.
authors.affiliation: Department of Neurosurgery, Children's Medical Center, Tehran University of Medical Science, Tehran, Iran. nejat@sina.tums.ac.ir
authors.forename: Farideh
authors.initials: F
authors.lastname: Nejat
authors.forename: Behzad
authors.initials: B
authors.lastname: Eftekhar
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D002648:Child; D003131:Combined Modality Therapy; D019299:Decompression, Surgical; D002549:Diffuse Cerebral Sclerosis of Schilder / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D001239:Inhalation; D008279:Magnetic Resonance Imaging
chemical_list: D000305:Adrenal Cortex Hormones