Akut disszeminált encephalomyelitis gyermekkorban

Zoltán Liptai, Eniko Újhelyi, Ilona Mihály, Gábor Rudas, Péter Barsi

Research output: Article

3 Citations (Scopus)

Abstract

Background and purpose - Acute disseminated encephalomyelitis is a rare inflammatory demyelinating disorder often preceded by infection or vaccination. The purpose of the study was the systematic analysis of clinical, radiological and microbiological profiles of children treated at Szent László Hospital, and the comparison of findings with literature data. Methods - Demographic, infectological, clinical, radiological, laboratory and virological data of patients treated and followed-up between 1-Jan-1998 and 30-June-2008 were reviewed and analysed. Results - 19 children met diagnostic criteria. Their mean age was 6.8 years. A prodromal illness - mostly febrile viral infection, upper respiratory infection or chickenpox - preceded neurological symptoms in 17 patients. All had polysymptomatic encephalopathy, 2 children had spinal symptoms. The cerebrospinal fluid was abnormal in all but one. A viral etiology was definite in 7 and probable in 8 cases. MRI disclosed white matter changes in 18, cortical and deep gray matter in 16, cerebellar in 6, brain stem in 14 and spinal cord changes in 2 cases. Repeat MRI performed mean 4 months later showed complete resolution in 6 and partial resolution in 11 patients. 13 patients received high-dose methylprednisolone, 2 of whom were also treated with plasma exchange and 1 with immunoglobulin. 9 children required mechanical ventilation. 2 patients died, 10 recovered without and 7 with sequelae. 2 patients developed further demyelinating events: multiple sclerosis and multiphasic disseminated encephalomyelitis, respectively. Conclusion - Clinical, radiological and follow-up results were similar to those published in literature however, triggering viruses were identified in a larger proportion of cases.

Translated title of the contributionAcute disseminated encephalomyelitis in childhood
Original languageHungarian
Pages (from-to)244-254
Number of pages11
JournalIdeggyogyaszati szemle
Volume62
Issue number7-8
Publication statusPublished - júl. 30 2009

Keywords

  • ADEM
  • Acute disseminated encephalomyelitis
  • Childhood
  • MRI

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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  • Cite this

    Liptai, Z., Újhelyi, E., Mihály, I., Rudas, G., & Barsi, P. (2009). Akut disszeminált encephalomyelitis gyermekkorban. Ideggyogyaszati szemle, 62(7-8), 244-254.