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急性播散性脑脊髓炎:一种疫苗可预防疾病的并发症。

Acute disseminated encephalomyelitis: complication of a vaccine preventable disease.

作者信息

Banerjee Arundhati, Suthar Renu, Vyas Sameer, Singh Mini P

机构信息

Pediatric Neurology Unit, Department of Pediatrics, Advanced Pediatric Center, Post Graduate Institute of Medical education and Research, Chandigarh, Chandigarh, India.

Pediatric Neurology Unit, Department of Pediatrics, Advanced Pediatric Center, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India.

出版信息

BMJ Case Rep. 2018 Dec 27;11(1):e225710. doi: 10.1136/bcr-2018-225710.

Abstract

Acute disseminated encephalomyelitis (ADEM) is a rare inflammatory-demyelinating disease of central nervous system. Several viral infections and vaccines act as precipitating factor for ADEM. We report an 8-year-old girl presenting with acute-onset flaccid paraparesis and bilateral painless vision loss. MRI brain showed extensive multifocal patchy demyelination and she made good clinical recovery with steroids and intravenous immunoglobulin therapy. She had history of bilateral parotid swelling before the onset of neurological symptoms and diagnosis of mumps was confirmed by positive ELISA in serum. Mumps, usually a benign and self-limited viral infection, rarely can cause severe neurological complications. Hence, we report this case to emphasise the importance of mumps vaccination and the need to strengthen the health policy system for the prevention of disease.

摘要

急性播散性脑脊髓炎(ADEM)是一种罕见的中枢神经系统炎性脱髓鞘疾病。多种病毒感染和疫苗可作为ADEM的诱发因素。我们报告一名8岁女孩,出现急性起病的弛缓性截瘫和双侧无痛性视力丧失。脑部MRI显示广泛的多灶性斑片状脱髓鞘,经类固醇和静脉注射免疫球蛋白治疗后,她的临床恢复良好。在神经症状出现之前,她有双侧腮腺肿大的病史,血清ELISA检测阳性证实为腮腺炎。腮腺炎通常是一种良性的自限性病毒感染,很少会引起严重的神经并发症。因此,我们报告此病例以强调腮腺炎疫苗接种的重要性以及加强疾病预防卫生政策体系的必要性。

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