| Central brain herniation secondary to fulminant acute disseminated encephalomyelitis: implications for neurosurgical management. Case report. | |
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MedLine Citation:
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PMID: 16961146 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Raymond F Sekula; Edward M Marchan; Parviz Baghai; Peter J Jannetta; Matthew R Quigley |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neurosurgery Volume: 105 ISSN: 0022-3085 ISO Abbreviation: J. Neurosurg. Publication Date: 2006 Sep |
Date Detail:
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Created Date: 2006-09-11 Completed Date: 2006-09-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: United States |
Other Details:
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Languages: eng Pagination: 472-4 Citation Subset: AIM; IM |
Affiliation:
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Department of Neurosurgery, Allegheny Neuroscience Institute/Drexel University School of Medicine, Pittsburgh, Pennsylvania, USA. raymondsekula@yahoo.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Encephalocele / diagnosis, etiology*, surgery* Encephalomyelitis, Acute Disseminated / complications*, diagnosis, physiopathology Humans Magnetic Resonance Imaging Male |
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