Radiology Department, Sahloul University Hospital, Sousse, Tunisia.
Acta Neurol Belg. 2010 Dec;110(4):340-4.
Acute disseminated encephalomyelitis is an acute immunomediated demyelinating disorder of the central nervous system, usually encountered in children or adolescents and characterized by multifocal neurologic deficits of rapid onset. It is often preceded by various infectious diseases or vaccination, but acute disseminated encephalomyelitis developing after herpes simplex encephalitis is rare. We report such a case in a 2-year-old girl which illustrates the importance of MRI features to consider acute disseminated encephalomyelitis in a patient who develops neurologic signs after the onset of HVS encephalitis.
急性播散性脑脊髓炎是一种中枢神经系统的急性免疫介导脱髓鞘疾病,通常发生于儿童或青少年,其特征为多灶性、迅速起病的神经功能缺损。它常继发于各种感染性疾病或疫苗接种,但单纯疱疹病毒性脑炎后发生的急性播散性脑脊髓炎则很少见。我们报告了这样一个 2 岁女孩的病例,该病例说明了 MRI 特征对于考虑急性播散性脑脊髓炎的重要性,因为该患者在单纯疱疹病毒性脑炎发病后出现了神经系统症状。