Department of Diagnostic Radiology, Royal Shrewsbury Hospital, Shrewsbury, Shropshire UK.
Br J Radiol. 2010 Mar;83(987):e54-7. doi: 10.1259/bjr/56586752.
Acute disseminated encephalomyelitis (ADEM) is a demyelinating disease characterised by subcortical high-signal white matter lesions on T2 weighted MRI. It most commonly occurs in children following an acute viral illness. We present a case study in which ADEM was the presenting condition in an adult female with small cell lung carcinoma. We discuss the evidence in the literature suggesting that ADEM may be viewed as a paraneoplastic syndrome.
急性播散性脑脊髓炎(ADEM)是一种脱髓鞘疾病,其特征是 T2 加权 MRI 上皮质下高信号白质病变。它最常发生在急性病毒感染后儿童。我们提出了一个病例研究,其中 ADEM 是一名女性小细胞肺癌患者的首发症状。我们讨论了文献中的证据,表明 ADEM 可被视为副肿瘤综合征。