The spectrum of postinfectious encephalomyelitis

Hung, Kun Long; Liao, Hung Tsai; Tsai, Meng‐Li

doi:10.1016/s0387-7604(00)00197-2

Cited by 43 publications

(19 citation statements)

References 13 publications

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“…Involvement of deep gray matter nuclei may also be seen [2]. In ADEM, the disease characteristically involves more than one of the above mentioned sites in an asymmetrical fashion, and the cerebral white matter is the most frequent target [1][2][3][4][5][6]. The presented case had unusual lesions confined to the mesencephalon.…”

Section: Discussionmentioning

confidence: 70%

“…The characteristic clinical features include one or more of encephalopathy, focal or multifocal neurological deficits, fever, headache, meningismus and malaise [1]. Associated imaging findings are A.K.…”

Section: Discussionmentioning

confidence: 99%

“…Infrequently, hemorrhage and calcification are present and gadolinium enhancement may be observed as seen in the presented case. Nodular, diffuse or ring pattern of contrast enhancement may be observed [1][2][3]. Different degrees of enhancement in the same patient, if present, represent various levels of damage to the bloodbrain barrier.…”

Section: Discussionmentioning

confidence: 99%

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An unusual case of acute disseminated encephalomyelitis confined to brainstem

Fırat

Karakaş

Yakıncı

et al. 2004

Magnetic Resonance Imaging

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

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An unusual case of acute disseminated encephalomyelitis confined to brainstem

Fırat

Karakaş

Yakıncı

et al. 2004

Magnetic Resonance Imaging

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“…Our patient did not have infectious disease in his clinical history. Acute disseminated encephalomyelitis or multiphase disseminated encephalomyelitis may also present with brainstem involvement [16]. The phasic course of these entities, however, is usually reflected by increasing high signal lesions, transient contrast enhancement and regression of the lesions on MRI scans, whereas lumbar puncture often reveals pleocytosis [17].…”

Section: Discussionmentioning

confidence: 99%

Valproate-Induced Hyperammonemic Encephalopathy

2006

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“…ADEM relapses are observed with the following frequencies: in one case from 18 ones for this disease (5.5%) [8], in 4 of 31 (13%) [9] [10], in 24 of 132 (18%) [11], in 7 of 35 (20%) [12], in 9 of 42 (21%) [13], in 5 of 21 (24%) [14].…”

Section: Introductionmentioning

confidence: 99%

Prediction of Multiphase Alternative of Acute Disseminated Encephalomyelitis Course Development

Lobanova¹,

Myalovitska²

2014

WJNS

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Prediction of development of the multi-phase alternative for the course inherent to acute disseminated encephalomyelitis (ADEM) is of great clinical importance, as it enables timely determination of the treatment tactics as well as volume of respective therapeutic interventions. This work is aimed at ascertaining the prognostic factors that determine the risk of development of the multi-phase course in disseminated encephalomyelitis. We have examined 101 patients with the diagnosis ADEM, namely: 28 men and 73 women in the age from 17 up to 53 years (average value 31.7 ± 1.01 years). To ascertain the prognostic meaning of clinic-paraclinic indices corresponding to patients with ADEM, we estimated the cumulative part of absence of relapses in the group of patients by using the Kaplan-Meyer method with estimating the Fisher criterion and using the most important clinic-paraclinic data. Development of the multiphase course in ADEM is reliably related to the following prognostic signs: changes in the neurologic status of patients with ADEM, degree of disability in accord with the EDSS scale as well as sizes of demyelination focuses determined using MRT. Criteria for congenial prediction in disease development with delayed appearance of ADEM relapses in the form of the multi-phase course are as follows: domination of motor impairments over coordinative impairments in neurological status, slight degree (in EDSS scale) of disability and small sizes (up to 4 mm) of demyelination focuses (MRT data). Our analysis of the main clinic-paraclinic indices obtained using the Kaplan-Meyer method indicates reliability of results and enables us to find a number of important prognostic criteria for appearance of the multiphase course in ADEM.

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The spectrum of postinfectious encephalomyelitis

Cited by 43 publications

References 13 publications

An unusual case of acute disseminated encephalomyelitis confined to brainstem

An unusual case of acute disseminated encephalomyelitis confined to brainstem

Valproate-Induced Hyperammonemic Encephalopathy

Prediction of Multiphase Alternative of Acute Disseminated Encephalomyelitis Course Development

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