Acute disseminated encephalomyelitis following infectious mononucleosis

被引:9
作者
Bahadori, Hamid R. [1 ]
Williams, Virginia C. [1 ]
Turner, Robert P. [1 ]
Rumboldt, Zoran [1 ]
Reigart, J. Routt [1 ]
Fowler, Sandra L. [1 ]
Chavis, Pamela S. [1 ]
Maria, Bernard L. [1 ]
机构
[1] Med Univ S Carolina, Darby Childrens Res Inst, Charleston, SC 29425 USA
关键词
acute disseminated encephalomyelitis; Epstein-Barr virus; mononucleosis;
D O I
10.1177/0883073807300534
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Two months following an Epstein-Barr virus infection, a 17-year-old white female presented with seizures, intermittent visual changes, and altered mental status. Magnetic resonance imaging showed white matter changes of acute disseminated encephalomyelitis with a predilection for posterior cerebral artery distributions but without radiological evidence of arteritis. Epstein-Barr virus titers and polymerase chain reaction analysis results for the virus were consistent with postinfectious acute disseminated encephalomyelitis. The symptoms and signs improved following treatment with high-dose corticosteroids and intravenous immunoglobulin. Although Epstein-Barr virus can cause acute viral encephalomyelitis, the authors report a case of acute disseminated encephalomyelitis months after acute Epstein-Barr virus infection.
引用
收藏
页码:324 / 328
页数:5
相关论文
共 29 条
[1]  
Anlar B, 2003, NEUROPEDIATRICS, V34, P194
[2]   Acute disseminated encephalomyelitis presenting with bilateral transient amaurosis [J].
Aydin, A ;
Atasever, S ;
Cakmakci, H .
PEDIATRIC NEUROLOGY, 2005, 32 (01) :60-63
[3]   NEUROLOGIC COMPLICATIONS OF INFECTIOUS-MONONUCLEOSIS [J].
CONNELLY, KP ;
DEWITT, LD .
PEDIATRIC NEUROLOGY, 1994, 10 (03) :181-184
[4]   Bilateral transient amaurosis following Mycoplasma pneumoniae infection:: a manifestation of acute disseminated encephalomyelitis [J].
Cvenkel, B .
EYE, 2003, 17 (05) :673-675
[5]   Acute manifestations and neurologic sequelae of Epstein-Barr virus encephalitis in children [J].
Domachowske, JB ;
Cunningham, CK ;
Cummings, DL ;
Crosley, CJ ;
Hannan, WP ;
Weiner, LB .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 1996, 15 (10) :871-875
[6]   COMPLICATIONS OF INFECTIOUS MONONUCLEOSIS [J].
ERWIN, W ;
WEBER, RW ;
MANNING, RT .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 1959, 238 (06) :699-+
[7]   ACUTE CEREBELLAR-ATAXIA AND HEARING-LOSS AS INITIAL SYMPTOMS OF INFECTIOUS MONONUCLEOSIS [J].
ERZURUM, S ;
KALAVSKY, SM ;
WATANAKUNAKORN, C .
ARCHIVES OF NEUROLOGY, 1983, 40 (12) :760-762
[8]   NEUROLOGICAL COMPLICATIONS OF GLANDULAR FEVER (INFECTIOUS MONONUCLEOSIS) [J].
GAUTIERS.PC .
BRAIN, 1965, 88 :323-&
[9]   Evaluations of enzyme-linked immunosorbent assay procedure for determining specific Epstein-Barr virus serology and of rapid test kits for diagnosis of infectious mononucleosis [J].
Gerber, MA ;
Shapiro, ED ;
Ryan, RW ;
Bell, GL .
JOURNAL OF CLINICAL MICROBIOLOGY, 1996, 34 (12) :3240-3241
[10]  
GROSE C, 1973, LANCET, V2, P231