Anest. intenziv. Med. 2008;19(4):203-209
Acute disseminated encephalomyelitis (ADEM) - Case ReportIntesive Care Medicine - Case Report
- Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Hradec Králové
Acute disseminated encephalomyelitis (ADEM) is an immune-mediated demyelinisation of the brain and spinal cord, precipitated by a infection or vaccination. In the past ADEM was a rare disease with higher incidence recently. Although history, clinical and radiological presentations are typical for this disease, the diagnosis is made per exclusionem. ADEM requiring ICU admission is a severe disease causing high mortality and persistent disability. Authors describe course of illness in one patient, diagnostic process a and therapy with corticosteroids, IVIG a plasmapheresis.
Keywords: acute disseminated encephalomyelitis; intensive care; corticoterapy; IVIG; plasmapheresis
Received: May 12, 2008; Accepted: June 13, 2008; Published: August 1, 2008 Show citation
References
- Tenembaum, S. et al. International Pediatric MS Study Group. Acute disseminated encephalomyelitis. Neurology, 2007, 68, 16, p. 23-36.
Go to original source...
Go to PubMed...
- Dale, R. C. et al. Early relapse risk after a first CNS inflammatory demyelination episode: examining international consensus definitions. Dev. Med. Child Neurol., 2007, 49, 12, p. 887-893.
Go to original source...
Go to PubMed...
- Cohen, O. et al. Recurrence of acute disseminated encephalomyelitis at the previously affected brain site. Arch. Neurol., 2001, 58, 5, p. 797-801.
Go to original source...
Go to PubMed...
- Bennetto, L. et al. Encephalomyelitis inflammatory/post-infectious. J. Neurol. Neurosurg. Psychiatry, 2004, 75, p. 22-28. Dostupné na: http://jnnp.bmj.com/cgi/content/full/ 75/suppl_ 1/i22.
Go to original source...
- Menge, T. et al. Acute disseminated encephalomyelitis: an acute hit against the brain. Curr. Opin. Neurol., 2007, 20, 3, p. 247-254.
Go to original source...
Go to PubMed...
- Robert, R. et al. Acute Disseminated Encephalomyelitis. Article Last Updated, 2007, 12 doi:10.1136/jnnp.2004.045500
- Menge, T. et al. Acute Disseminated Encephalomyelitis. An Update. Arch. Neurol., 2005, 62, p. 1673-1680.
Go to original source...
Go to PubMed...
- Plesner, A. M. et al. Neurological complications to vaccination against Japanese encephalitis. Eur. J. Neurol., 1998, 5, p. 479-485.
Go to original source...
Go to PubMed...
- Chopra, B. et al. CSF Beta-1 Globulin - A Potential Marker in Differentiating Multiple Sclerosis and Acute Disseminated Encephalomyelitis: A Preliminary Study. Code Number: ni02011. Dostupné na: http://www.neurologyindia.com
- Schwarz, S. et al. Acute disseminated encephalomyelitis: a follow-up study of 40 adult patients. Neurology, 2001, 56, p.1313-1318.
Go to original source...
Go to PubMed...
- Maramattom, B. V. et al. Clinical features and outcome of acute disseminated encephalomyelitis (ADEM): An outlook from South India. Ann. Indian. Acad. Neurol., 2006, 9, p. 20-24. Dostupné na: http://www.annalsofian.org/text.asp?2006/9/1/20/22817
Go to original source...
- Rossi, A. Imaging of acute disseminated encephalomyelitis. Neuroimaging Clin. N. Am., 2008, 18, 1, p. 149-161.
Go to original source...
Go to PubMed...
- Sekula, R. F. et al. Central brain herniation secondary to fulminant acute disseminated encephalomyelitis: implications for neurosurgical management. Case report. J. Neurosurg., 2006, 105, 3, p. 472-474.
Go to original source...
Go to PubMed...
- Ravaglia, S. et al. Severe steroid-resistant post-infectious encephalomyelitis: general features and effects of IVIg. J. Neurol., 2007, 254, 11, p. 1518-1523.
Go to original source...
Go to PubMed...
- Lu, R. P. et al. Combination regimen of methylprednisolone, IV immunoglobulin, and plasmapheresis early in the treatment of acute disseminated encephalomyelitis. J. Clin. Apher., 2006, 21, 4, p. 260-265.
Go to original source...
Go to PubMed...
- Lin, CH. et al. Acute disseminated encephalomyelitis: a follow-up study in Taiwan. J. Neurol. Neurosurg. Psychiatry, 2007, 78, 2, p. 162-167.
Go to original source...
Go to PubMed...
- Sonneville, R. et al. Acute disseminated encephalomyelitis in the intensive care unit: clinical features and outcome of 20 adults. Intensive Care Med., 2008, 34, 3, p. 528-532.
Go to original source...
Go to PubMed...
- Tenembaum, S. et al. Acute disseminated encephalomyelitis: a long-term follow-up study of 84 pediatric patients. Neurology, 2002, 59, p. 1224-31.
Go to original source...
Go to PubMed...
- Axer, H. et al. Initial DWI and ADC imaging may predict outcome in acute disseminated encephalomyelitis: report of two cases of brain stem encephalitis. J. Neurol. Neurosurg. Psychiatry, 2005, 76, p. 996-998. Dostupné na: http://jnnp.bmj.com/cgi/content/full/76/7/996.
Go to original source...
Go to PubMed...
- Rutchik, J. S. et al. Neurologic issues with solvents. Clin. Occup. Environ. Med., 2004, 4, 4, p. 621-656.
Go to original source...
Go to PubMed...
- Matsuoka, M. Neurotoxicity of organic solvents-recent findings. Brain Nerve, 2007, 59, 6, p. 591-596.
Go to PubMed...
- Thuomas, K. A. et al. MR imaging in solvent-induced chronic toxic encephalopathy. Acta Radiol., 1996, 37, 2, p. 177-179.
Go to original source...
Go to PubMed...