ABSTRACT
A 17-year-old boy presented with a severe form of an acute disseminated encephalomyelitis (ADEM) with hemiparesis and coma after initial symptoms of a flu-like febrile infection 1 week previously. Titers against Mycoplasma pneumoniae were significantly increased in serum and cerebrospinal fluid (CSF). Detection of M. pneumoniae was achieved in the initial CSF sample using M. pneumoniae-specific PCR. The patient improved significantly on antimicrobial therapy with erythromycin and immunosupressive therapy with immunoglobulins and corticosteroids. This case report demonstrates a well-documented course of a central nervous system (CNS) infection resulting in the ADEM syndrome.
Subject(s)
Encephalomyelitis, Acute Disseminated/diagnosis , Encephalomyelitis, Acute Disseminated/microbiology , Mycoplasma pneumoniae/isolation & purification , Acute Disease , Adolescent , Diagnosis, Differential , Humans , Magnetic Resonance Imaging , Male , Polymerase Chain Reaction , Severity of Illness IndexABSTRACT
Two cases of dumbbell tumours (one ganglioneuroma, one neuroblastoma) are presented. The incidence and symptomatology are shown. It is mandatory to examine the intraspinal situation in all paraspinal tumours by CT-metrizamide myelography. We recommend to do the laminectomy and the removal of paraspinal mass in a single operation.
