Acute disseminated encephalomyelitis and its place amongst other acute inflammatory demyelinating CNS disorders

被引:12
作者
Palace, Jacqueline [1 ]
机构
[1] Univ Oxford, John Radcliffe Hosp, Neurosci Off, Oxford OX3 9DU, England
关键词
Acute disseminated encephalomyelitis; ADEM; Classification; Acute inflammatory demyelinating disorders; ACUTE TRANSVERSE MYELITIS; NEUROMYELITIS-OPTICA-IGG; MULTIPLE-SCLEROSIS; FOLLOW-UP; FEATURES; PREDICTS; BRAIN;
D O I
10.1016/j.jns.2011.03.028
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The diagnosis of acute inflammatory demyelinating CNS conditions is complex and this is reflected in variations in how cohorts are defined across studies. For some conditions the diagnosis relies on whether it is monophasic or relapsing, in others the anatomical site of inflammation is used as a means of categorisation. Clinical features such as precipitants, gender and age may affect the probability of certain diagnoses, but are not highly accurate. Exclusive features for the pathology are identifiable for some but not all conditions, and are seldom available during life. Specific markers such as antibodies are informative and new developments in this area are likely in the near future. This review outlines the features and classification of acute disseminated encephalomyelitis and contrasts it with other related conditions before attempting to define a pragmatic organisation of these conditions based upon present evidence. (C) 2011 Elsevier B.V. All rights reserved.
引用
收藏
页码:188 / 191
页数:4
相关论文
共 29 条
[1]   Neuromyelitis optica-IgG in childhood inflammatory demyelinating CNS disorders [J].
Banwell, B. ;
Tenembaum, S. ;
Lennon, V. A. ;
Ursell, E. ;
Kennedy, J. ;
Bar-Or, A. ;
Weinshenker, B. G. ;
Lucchinetti, C. F. ;
Pittock, S. J. .
NEUROLOGY, 2008, 70 (05) :344-352
[2]  
Choi KH, 1996, AM J NEURORADIOL, V17, P1151
[3]   Recurrence of acute disseminated encephalomyelitis at the previously affected brain site [J].
Cohen, O ;
Steiner-Birmanns, B ;
Biran, I ;
Abramsky, O ;
Honigman, S ;
Steiner, I .
ARCHIVES OF NEUROLOGY, 2001, 58 (05) :797-801
[4]   Acute disseminated encephalomyelitis, multiphasic disseminated encephalomyelitis and multiple sclerosis in children [J].
Dale, RC ;
de Sousa, C ;
Chong, WK ;
Cox, TCS ;
Harding, B ;
Neville, BGR .
BRAIN, 2000, 123 :2407-2422
[5]   Idiopathic acute transverse myelitis: Application of the recent diagnostic criteria [J].
de Seze, J ;
Lanctin, C ;
Lebrun, C ;
Malikova, I ;
Papeix, C ;
Wiertlewski, S ;
Pelletier, J ;
Gout, O ;
Clerc, C ;
Moreau, C ;
Defer, G ;
Edan, G ;
Dubas, F ;
Vermersch, P .
NEUROLOGY, 2005, 65 (12) :1950-1953
[6]   Discriminatory features of acute transverse myelitis: a retrospective analysis of 45 patients [J].
Harzheim, M ;
Schlegel, U ;
Urbach, H ;
Klockgether, T ;
Schmidt, S .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2004, 217 (02) :217-223
[7]   MYELIN BASIC-PROTEIN AS AN ENCEPHALITOGEN IN ENCEPHALOMYELITIS AND POLYNEURITIS FOLLOWING RABIES VACCINATION [J].
HEMACHUDHA, T ;
GRIFFIN, DE ;
GIFFELS, JJ ;
JOHNSON, RT ;
MOSER, AB ;
PHANUPHAK, P .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 316 (07) :369-374
[8]   Immunopathogenesis of acute transverse myelitis [J].
Kerr, DA ;
Ayetey, H .
CURRENT OPINION IN NEUROLOGY, 2002, 15 (03) :339-347
[9]  
KIM JS, CASE PROGR MYELOPATH
[10]   Consensus definitions proposed for pediatric multiple sclerosis and related disorders [J].
Krupp, Lauren B. ;
Banwell, Brenda ;
Tenembaum, Silvia .
NEUROLOGY, 2007, 68 :S7-S12