The Spectrum of Acute Disseminated Encephalomyelitis and Mild Encephalopathy with Reversible Splenial Lesion
Joint Authors
Sáenz-Farret, Michel
Cansino-Torres, Mariana Aurora
Sandoval-Rodríguez, Valeria
Navarro-Ibarra, Rigoberto
Zúñiga-Ramírez, Carlos
Source
Case Reports in Neurological Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-10-17
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Acute disseminated encephalomyelitis and mild encephalopathy with reversible splenial lesion are autoimmune demyelinating disorders of central nervous system.
Diagnosis remains clinical, aided by neuroimaging confirmation and excluding other causes.
In the absence of a biological marker, the diagnosis of these entities based on clinical and imaging criteria could overlap.
Methods.
We describe a 22-year-old woman developing mild neurological signs after an upper tract infection, a brain magnetic resonance image revealed confluent, symmetrical white matter lesions with corpus callosum involvement; after extensive ancillary testing that ruled out secondary causes we concluded that this subject had a post infectious encephalitis sharing clinical and imaging criteria for acute disseminated encephalomyelitis.
However, mild encephalopathy with reversible splenial lesion could be an alternate diagnosis for this subject.
Treatment with methylprednisolone completely solved both the clinical and image abnormalities without relapsing for more than 3 years of follow-up.
Conclusion.
Both acute disseminated encephalomyelitis and mild encephalopathy with reversible splenial lesion share clinical and radiological features.
A biological marker is needed to differentiate among these entities, since overlap is seen according to current criteria.
American Psychological Association (APA)
Sáenz-Farret, Michel& Cansino-Torres, Mariana Aurora& Sandoval-Rodríguez, Valeria& Navarro-Ibarra, Rigoberto& Zúñiga-Ramírez, Carlos. 2019. The Spectrum of Acute Disseminated Encephalomyelitis and Mild Encephalopathy with Reversible Splenial Lesion. Case Reports in Neurological Medicine،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1141408
Modern Language Association (MLA)
Sáenz-Farret, Michel…[et al.]. The Spectrum of Acute Disseminated Encephalomyelitis and Mild Encephalopathy with Reversible Splenial Lesion. Case Reports in Neurological Medicine No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1141408
American Medical Association (AMA)
Sáenz-Farret, Michel& Cansino-Torres, Mariana Aurora& Sandoval-Rodríguez, Valeria& Navarro-Ibarra, Rigoberto& Zúñiga-Ramírez, Carlos. The Spectrum of Acute Disseminated Encephalomyelitis and Mild Encephalopathy with Reversible Splenial Lesion. Case Reports in Neurological Medicine. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1141408
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141408