양측 시신경염을 동반한 급성 파종성 뇌척수염 1예

• 영문명: A case of acute disseminated encephalomyelitis with bilateral optic neuritis
• 발행기관: 조선대학교 의학연구원
• 저자명: 정선진(Seon Jin Jeong) 김용욱(Yong Wook Kim) 김경심(Kyoung Sim Kim) 조형민(Hyoung Min Cho) 김령(Young Kim) 장해인(Hae
• 간행물 정보: 『The Medical Journal of Chosun University』제44권 제2호, 103~106쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2019.10.30

영문 초록

Acute disseminated encephalomyelitis (ADEM) is a rare, postinfectious autoimmune inflammatory demyelinating disease of the central nervous system. ADEM presents clinically encephalopathy in association with polyfocal neurologic deficits. Of them, optic neuritis is less common symptom. We experienced ADEM with optic neuritis associated with Mycoplasma pneumoniae infection in a 5 year-old girl. She initially presented lethargy, irritability, ataxia and loss of pain sense on right hand and progressed to decreased visual acuity and papilledema of both eyes on the 4th hospital day. Brain magnetic resonance imaging showed multiple bilateral hyperintense lesions in the subcortical white matter on T2 weighted images. After administration of intravenous immunoglobulin and high dose intravenous methylprednisolone, she recovered completely.

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키워드

Encephalomyelitis Acute disseminated Optic neuritis