MRI findings in acute disseminated encephalomyelitis following varicella infection in an adult.
There are no abnormal magnetic resonance imaging (MRI) findings in children with acute disseminated encephalomyelitis (ADEM) after varicella infection. Here, we report abnormal MRI findings in an adult, namely: hyperintense signal in the right medullary olive, the right side of the pons, the left middle cerebellar peduncle, the dorsal aspect of both thalami and the periventricular white matter of both cerebral hemispheres. The patient's condition improved after 1 week of corticosteroid treatment. Four months later, MRI of the brain showed almost complete resolution and there were no further attacks of motor weakness at 18-months follow-up.
Sawanyawisuth
Kittisak
K
Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. kittisak@kku.ac.th
Phuttharak
Warinthorn
W
Tiamkao
Somsak
S
Boonpila
Acharaporn
A
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D001921:Brain / Q000473:pathology; D002644:Chickenpox / Q000150:complications* / Q000473:pathology*; D003244:Consciousness Disorders / Q000209:etiology; D004679:Encephalomyelitis / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D018908:Muscle Weakness / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014549:Urinary Incontinence / Q000209:etiology
D000305:Adrenal Cortex Hormones