Acute disseminated encephalomyelitis (ADEM) presenting with bilateral optic neuritis
Malaysian Journal of Medical Sciences
;
: 71-74, 2007.
Article
in Malayalam
| WPRIM
| ID: wpr-625138
ABSTRACT
A 43-year old lady presented with progressive loss of vision in both eyes followed by rapid deterioration of consciousness within the next few days. This was preceded by a viral infection one week before her presentation. At presentation she had evidence of meningism and signs of bilateral upper motor neuron lesions and was managed initially as acute meningoencephalitis with antibiotics. The brain CT was within normal limits but subsequent MRI of the brain revealed multiple foci of hyperintense lesions on T2-weighted and FLAIR images. The cerebrospinal fluid examination revealed lymphocytosis, and normal protein and glucose levels. Cultures of the CSF were negative. She was managed as acute disseminated encephalomyelitis (ADEM) with high-dose of intravenous methlyprednisolone one gram/day for three consecutive days followed by oral prednisolone 60 mg/day. Despite the management she lapsed into coma and succumbed to her illness nine days after admission.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Optic Neuritis
Language:
Malayalam
Journal:
Malaysian Journal of Medical Sciences
Year:
2007
Type:
Article
Similar
MEDLINE
...
LILACS
LIS