Document Detail

Central brain herniation secondary to fulminant acute disseminated encephalomyelitis: implications for neurosurgical management. Case report.
MedLine Citation:
PMID:  16961146     Owner:  NLM     Status:  MEDLINE    
Acute disseminated encephalomyelitis (ADEM), also known as postinfectious encephalomyelitis, is an immunologically mediated demyelinating disorder affecting the central nervous system that typically occurs after infection or vaccination. The prognosis of ADEM is generally favorable. In a small subset of patients with ADEM, however, fulminant cerebral edema requiring neurosurgical intervention will develop. Few recommendations are available to help the neurosurgeon in dealing with such cases. In this report, the authors present the case of a patient with ADEM in whom central brain herniation developed secondary to medically intractable cerebral edema. The authors review the salient features of the disease and suggest a role for neurosurgeons in cases of fulminant ADEM.
Raymond F Sekula; Edward M Marchan; Parviz Baghai; Peter J Jannetta; Matthew R Quigley
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  105     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-11     Completed Date:  2006-09-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  472-4     Citation Subset:  AIM; IM    
Department of Neurosurgery, Allegheny Neuroscience Institute/Drexel University School of Medicine, Pittsburgh, Pennsylvania, USA.
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MeSH Terms
Encephalocele / diagnosis,  etiology*,  surgery*
Encephalomyelitis, Acute Disseminated / complications*,  diagnosis,  physiopathology
Magnetic Resonance Imaging

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