Journals / Gazi Medical Journal / 2018 / Cilt: 29 - Sayı: 4

Acute Disseminated Encephalomyelitis (ADEM) is Available in Infancy: Case Reports of Two Patients

İnfant Dönemde Akut Dissemine Ensefalomyelit (ADEM) Tanısı ile İzlenen İki Hasta: Olgu Sunumu

Pages
354–356
Publication Date
2022-10-19
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

High dose corticosteroids are used successfully in the treatment.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Acute disseminated encephalomyelitis is a monophasic, inflammatory, demyelinating central nervous system disease with various neurological manifestations.
📊
Key Findings & Data:Here we present two patients who are under 2 years-old and presented with acute neurological symptoms and diagnosed as acute disseminated encephalomyelitis the result of further evaluation.
💡
Conclusion & Impact:High dose corticosteroids are used successfully in the treatment.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Acute disseminated encephalomyelitis is a monophasic, inflammatory, demyelinating central nervous system disease with various neurological manifestations. The diagnosis of the disease during infancy is rare in childhood age group. Here we present two patients who are under 2 years-old and presented with acute neurological symptoms and diagnosed as acute disseminated encephalomyelitis the result of further evaluation. Acute disseminated encephalomyelitis is diagnosed upon clinical and neuroimaging findings. Acute disseminated encephalomyelitis should be considered in the differential diagnosis of acute neurological symptoms or encephalopathy occurring after vaccination and non-specific infections. High dose corticosteroids are used successfully in the treatment.

Özet

Akut dissemine ensefalomyelit, çeşitli nörolojik belirtiler ile görülenmonofazik, inflamatuar, demyelinizan bir santral sinir sistemi hastalığıdır.Çocukluk yaş grubunda infant dönemde görülmesi nadirdir. Burada 2 yaşınaltında akut nörolojik belirtiler ile başvuran ve ileri değerlendirme sonucundaakut dissemine ensefalomyelit tanısı konulan, iki hasta sunulmaktadır. Akutdissemine ensefalomyelit tanısı klinik ve nörogörüntüleme ile konulmaktadır.Spesifik olmayan enfeksiyon belirtileri ya da aşılama sonrasında ortaya çıkanakut nörolojik semptomlar ve ensefelopati varlığında ayırıcı tanı da akutdissemine ensefalomyelit akla gelmelidir. Tedavide yüksek dozkortikosteroidler ilk seçenek olarak kullanılmaktadır.

🔖

Cite This Article

AKÇABOY, M., ŞENEL, S., ÖZKAN, M., ÇİFTÇİ, S., SARI, E., YÜCEL, H. (2022). Acute Disseminated Encephalomyelitis (ADEM) is Available in Infancy: Case Reports of Two Patients. Gazi Medical Journal, Cilt: 29 - Sayı: 4, 354–356. https://ajindex.com/articles/519852

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Leake JA, Albani S, Kao AS, et al. Acute disseminated encephalomyelitis in childhood: epidemiologic, clinical and laboratory features. Pediatr Infect Dis J 2004; 23:756. Banwell B, Kennedy J, Sadovnick D, et al. Incidence of acquired demyelination of the CNS in Canadian children. Neurology 2009; 72:232. Murthy SN, Faden HS, Cohen ME, Bakshi R. Acute disseminated encephalomyelitis in children. Pediatrics 2002; 110:e21. Dale RC, de Sousa C, Chong WK, et al. Acute disseminated encephalomyelitis, multiphasic disseminated encephalomyelitis and multiple sclerosis in children. Brain 2000; 123 Pt 12:2407. Hynson JL, Kornberg AJ, Coleman LT, et al. Clinical and neuroradiologic features of acute disseminated encephalomyelitis in children. Neurology 2001; 56:1308. Tenembaum S, Chamoles N, Fejerman N. Acute disseminated encephalomyelitis: a long-term follow-up study of 84 pediatric patients. Neurology 2002; 59:1224. Stonehouse M, Gupte G, Wassmer E, Whitehouse WP. Acute disseminated encephalomyelitis: recognition in the hands of general paediatricians. Arch Dis Child 2003; 88:122. Fenichel GM. Neurological complications of immunization. Ann Neurol 1982; 12:119. Verhey LH, Branson HM, Shroff MM, et al. MRI parameters for prediction of multiple sclerosis diagnosis in children with acute CNS demyelination: a prospective national cohort study. Lancet Neurol 2011; 10:1065. Krupp LB, Tardieu M, Amato MP, et al. International Pediatric Multiple Sclerosis Study Group criteria for pediatric multiple sclerosis and immune-mediated central nervous system demyelinating disorders: revisions to the 2007 definitions. Mult Scler 2013; 19:1261. Gray MP, Gorelick MH. Acute Disseminated Encephalomyelitis. Pediatr Emerg Care 2016; 32:395.