A case of acute disseminated encephalomyelitis presented with transvers myelitis/ Transvers miyelit tablosu ile getirilen akut dissemine ansefalomiyelit olgusu

Citation metadata

Authors: Avni Kaya, Mustafa Ozkan, M. Selcuk Bektas, Mehmet Acikgoz, Hayrettin Temel and Ertan Sal
Date: Sept. 2010
From: Turkish Pediatrics Archive
Publisher: AVES
Document Type: Case study
Length: 1,712 words

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Abstract :

Acute disseminated encephalomyelitis is an inflammatory and demyelinating disorder of central nervous system. A 9-year-old male was admitted with unable to walk, non-sensation of legs, urinary incontinence and encopresis for 2 days. On physical examination, muscle strength was 5/5 on upper extremities and 1/5 on lower extremities. Loss of pain, temperature and touch sensation was present on both lower extremities, reaches to T8 level. On spinal magnetic resonance imaging, diffuse hyperintensity from C3 to conus medullaris was detected. While electromyography was consistent with polyradiculoneuritis, magnetic resonance imaging findings were concordant with acute disseminated encephalomyelitis. On account of this case, we would like to emphasize that acute disseminated encephalomyelitis should be considered in patients presented with transverse myelitis; therefore, in addition to spinal magnetic resonance imaging, cranial magnetic resonance imaging should be examined in these patients. Key words: Acute disseminated encephalomyelitis, child, transverse myelitis Akut dissemine ansefalomiyelit, merkezi sinir sisteminin enflamatuvar, demiyelinizan bir hastaligidir. Dokuz yasinda erkek hasta iki gun once baslayan yuruyememe, bacaklarini hissedememe, idrar ve diski kacirma yakinmasi ile getirildi. Fizik bakisinda, ust ekstremitelerde kas gucu 5/5, alt ekstemitelerde 1/5 idi. Her iki alt ekstremitelerden baslayip T8 duzeyine kadar uzanan yuzeyel duyu kaybi vardi. Spinal manyetik rezonans goruntulemesinde, C3'ten konus medullarise uzanan ve kontrast madde tutulumu gosteren hiperintens yaygin lezyon saptandi. Elektromiyografi poliradikulonevritle, beyin manyetik rezonans goruntulemesi bulgulari akut dissemine ansefalomiyelit ile uyumluydu. Bu olgu dolayisiyla transvers miyelit tablosu ile getirilen hastalarda akut dissemine ansefalomiyelit olabilecegini, bu nedenle spinal manyetik rezonans goruntulemesi yaninda kraniyal manyetik rezonans goruntulemesinin de yapilmasinin uygun olacagini vurgulamak isteriz. Anahtar sozcukler: Akut dissemine ansefalomiyelit, cocuk, transvers miyelit

Source Citation

Source Citation
Kaya, Avni, et al. "A case of acute disseminated encephalomyelitis presented with transvers myelitis/ Transvers miyelit tablosu ile getirilen akut dissemine ansefalomiyelit olgusu." Turkish Pediatrics Archive, Sept. 2010, pp. 299+. Accessed 20 Sept. 2021.
  

Gale Document Number: GALE|A237602025