A case of acute disseminated encephalomyelitis with liver abscess.
- Author:
Jae Wook SHIN
1
;
Byung Chul HAHN
;
Dong Woo SHIN
;
Jeong Hyeon CHUN
;
Yeon Seok HAHN
;
Jae Hyun LIM
;
Young Bo SHIM
;
Yi Dae CHO
;
Sang Yeol SUH
Author Information
1. Department of Internal medicine, Seoul Red Cross Hospital, Seoul, Korea. hahnbc@channeli.net
- Publication Type:Case Report
- Keywords:
Encephalomyelitis, Acute disseminated;
Liver abscess
- MeSH:
Adult;
Brain;
Central Nervous System;
Demyelinating Diseases;
Encephalomyelitis, Acute Disseminated*;
Humans;
Liver Abscess*;
Liver*;
Magnetic Resonance Imaging;
Plasmapheresis;
Remission, Spontaneous;
Vaccination
- From:Korean Journal of Medicine
2001;61(2):215-220
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute disseminated encephalomyelitis (ADEM) is an acute inflammatory demyelinating disease of central nervous system, and is related to allergic or immune-mediated reaction to systemic viral infection or vaccination, which is usually self limited monophasic illness. As the clinical manifestations or laboratory findings is nonspecific, it is diagnosed by brain magnetic resonance imaging (MRI) showing multiple foci of increased T2 signal within white matter. We report the clinical and radiologic imaging findings in a 36-year-old man in whom acute disseminated encephalomyelitis developed after serologically proven herpes infection combined with liver abscess. His clinical course, despite without corticosteroid or plasmapheresis because of liver abscess, was shown spontaneous remission.