Recurrent Acute Disseminated Encephalomyelitis Presenting as Conus Medullaris Syndrome: A Case Report

被引:0
作者
Lee, Dae-Wook [1 ]
Kang, Seok [1 ]
Kim, Nackhwan [1 ]
机构
[1] Korea Univ Guro Hosp, Dept Phys Med & Rehabilitaiton, Seoul 08308, South Korea
来源
MEDICINA-LITHUANIA | 2024年 / 60卷 / 01期
关键词
acute disseminated encephalomyelitis; conus medullaris syndrome; magnetic resonance imaging; TRANSVERSE MYELITIS; ADEM;
D O I
10.3390/medicina60010188
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disorder that typically follows an infection or recent vaccination. Symptoms such as encephalopathy and focal neurological deficits appear weeks after the initial illness, leading to swift and progressive neurological decline. While ADEM in the brain has been well documented, reports of ADEM, specifically in the spinal cord, are relatively limited. A 58-year-old male presented with rapidly progressive bilateral lower extremity tingling, numbness, and mild gait disturbance approximately two days prior to visiting the emergency room. Spinal magnetic resonance imaging revealed a diffuse, longitudinal, high-signal lesion with mild enlargement of the conus and proximal cauda equina. The lesions were predominantly localized in the distal conus and cauda equina, and serial electrodiagnostic studies showed that the lesions progressed toward the proximal conus in tandem with symptom evolution and lacked clear lateralization. The patient was subsequently treated with high-dose steroids for seven days (intravenous methylprednisolone, 1 mg/kg). The patient's lower extremity weakness gradually improved and he was able to walk independently under supervision three weeks after symptom onset. In this case of spinal ADEM in a middle-aged adult, high-dose steroid treatment led to outstanding neurological recovery from both the initial occurrence and subsequent attacks.
引用
收藏
页数:6
相关论文
共 50 条
  • [41] A rare fatal case of adenovirus serotype 4 associated acute disseminated encephalomyelitis in an adult: A case report
    Qamar, Zahra
    Tucker, Catherine M.
    Kenyon, Lawrence C.
    Royer, Tricia L.
    IDCASES, 2021, 25
  • [42] Acute disseminated encephalomyelitis: An unusual cause of encephalitic syndrome in childhood
    Sztajnbok, J
    Lignani, L
    Bresolin, AU
    Marotto, PCF
    Seguro, AC
    PEDIATRIC EMERGENCY CARE, 1998, 14 (01) : 36 - 38
  • [43] Acute disseminated encephalomyelitis in a child with Griscelli syndrome
    Keles, Sevgi
    Reisli, Ismail
    Aydin, Kursad
    Guzes, Eylem Atilgan
    ASTIM ALLERJI IMMUNOLOJI, 2009, 7 (01): : 79 - 84
  • [44] Conus medullaris syndrome and acute colonic pseudo-obstruction in a child with acute lymphoblastic leukemia
    Bicakci, Zafer
    Akyay, Arzu
    Ozturkmen, Seda
    Celebi-Tayfur, Asli
    Agladioglu, Sebahat
    Ciledag, Nazan
    Ozcay, Figen
    Arda, Kemal
    Olcay, Lale
    TURKISH JOURNAL OF PEDIATRICS, 2011, 53 (05) : 579 - 582
  • [45] Acute disseminated encephalomyelitis in childhood. Report of 10 cases
    Guitet, M
    Campistol, J
    Cambra, FJ
    REVISTA DE NEUROLOGIA, 2001, 32 (05) : 409 - 413
  • [46] Acute Disseminated Encephalomyelitis Following Completion of Pneumococcal Meningitis Treatment: A Case Report and Review of the Literature
    Ozel, Ayse Serra
    Altunal, Luetfiye Nilsun
    Sakci, Zakir
    Yilmaz, Ece Asli
    Yilmaz, Mesut
    Kadanali, Ayten
    MEDITERRANEAN JOURNAL OF INFECTION MICROBES AND ANTIMICROBIALS, 2023, 12
  • [47] High-Riding Conus Medullaris Syndrome: A Case Report and Literature Review-Its Comparison with Cauda Equina Syndrome
    Huang, Ya-Lin
    Chang, Shin-Tsu
    TOMOGRAPHY, 2023, 9 (06) : 1999 - 2005
  • [48] Case report: Unilateral GPi DBS in secondary myoclonus-dystonia syndrome after acute disseminated encephalomyelitis
    Calvano, Alexander
    Beccaria, Laura
    Timmermann, Lars
    Bopp, Miriam H. A.
    Gjorgjevski, Marko
    Nimsky, Christopher
    Pedrosa, David J.
    FRONTIERS IN NEUROLOGY, 2023, 14
  • [49] A rare concurrent incidence of adult-onset acute disseminated encephalomyelitis and antiphospholipid antibody syndrome: A case report
    Ali, Farhan
    Zubair, Amraha
    Ahmed, Aftab
    Jalbani, Azizullah
    Mumtaz, Hassan
    INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 2023, 113
  • [50] POWASSAN VIRUS INFECTION PRESENTING AS ACUTE DISSEMINATED ENCEPHALOMYELITIS IN TENNESSEE
    Hicar, Mark D.
    Edwards, Kathryn
    Bloch, Karen
    PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2011, 30 (01) : 86 - 88