title: [A case of difficulty for differential diagnosis between encephalitis and acute disseminated encephalomyelitis].
abstract: A seventy-four-male with disorientation and convulsion was transferred to this hospital after three days fever which was unknown origin. Because the examination of cerebrospinal fluid were; cell count 1,560/3 (N : L = 4 : 1), protein 305 mg/dl, sugar 91 mg/dl, he was treated as encephalitis. However, MRI of the 18th hospital day revealed bilateral thalamic lesion and disseminated white matter lesions, suggesting acute disseminated encephalomyelitis. He left dementia after treatment and transferred to another hospital. Since, it is difficult to make a differential diagnosis between encephalitis and acute disseminated encephalomyelitis, early establishment of diagnostic criteria for acute disseminated encephalomyelitis is required.
authors.affiliation: Department of Traumatology and Critical Care Medicine, National Defense Medical College Hospital, 3-2 Namiki, Tokorozawa-city, Saitama 359-8513, Japan.
authors.forename: Youichi
authors.initials: Y
authors.lastname: Yanagawa
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Kiyozumi
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Okada
authors.forename: Go
authors.initials: G
authors.lastname: Ogawa
authors.forename: Kenichi
authors.initials: K
authors.lastname: Kaida
authors.forename: Keiko
authors.initials: K
authors.lastname: Kamakura
mesh_terms: D000368:Aged; D001921:Brain / Q000473:pathology*; D003937:Diagnosis, Differential; D004660:Encephalitis / Q000175:diagnosis*; D004673:Encephalomyelitis, Acute Disseminated / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male