Department of Neurology, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, Northern Ireland.
Mult Scler. 2009 Dec;15(12):1534-6. doi: 10.1177/1352458509348518.
Brainstem lesions are rarely associated with neurogenic pulmonary oedema (NPO) in multiple sclerosis and other disorders. The exact mechanism for this is unknown. We describe a case of a 15-year-old boy who presented with transient cardiomyopathy and severe acute pulmonary oedema. Several days after his initial presentation he developed an ataxic syndrome with limb, truncal and gait ataxia and nystagmus on primary gaze. Investigations confirmed acute disseminated encephalomyelitis (ADEM). For the first time, we describe a case of transient cardiomyopathy and NPO as the initial manifestation of ADEM.
脑干病变在多发性硬化症和其他疾病中很少与神经性肺水肿（NPO）相关。其确切机制尚不清楚。我们描述了一例 15 岁男孩，他表现为短暂性心肌病和严重急性肺水肿。在最初表现后几天，他出现了共济失调综合征，表现为肢体、躯干和步态共济失调以及第一眼凝视时的眼球震颤。检查结果证实为急性播散性脑脊髓炎（ADEM）。我们首次描述了一例以短暂性心肌病和 NPO 为 ADEM 初始表现的病例。
