快速进展性致死性急性出血性脑脊髓炎

Chen Ssu-Yu, Chen Hung-Chieh, Chen Ting-Bin

School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.

Division of Neuroradiology, Department of Radiology, Taichung Veterans General Hospital, Taichung 407219, Taiwan.

Diagnostics (Basel). 2023 Jul 26;13(15):2481. doi: 10.3390/diagnostics13152481.

Acute hemorrhagic encephalomyelitis (AHEM) is the most severe form of acute disseminated encephalomyelitis (ADEM). Patients with AHEM usually have unfavorable outcomes with high mortality rate. We reported a middle-aged male, who was diagnosed with AHEM and died 35 days after admission even under intensive immune therapy. Clinical courses were recorded and serial MR images were demonstrated to illustrate the rapidly changes in brain parenchyma. By highlighting these aspects, we hope to provide valuable insights for future studies and potential advancements in the management of AHEM.

急性出血性脑脊髓炎（AHEM）是急性播散性脑脊髓炎（ADEM）最严重的形式。AHEM患者通常预后不佳，死亡率很高。我们报告了一名中年男性，他被诊断为AHEM，即使接受强化免疫治疗，入院35天后仍死亡。记录了临床病程，并展示了系列磁共振图像以说明脑实质的快速变化。通过强调这些方面，我们希望为AHEM的未来研究和潜在进展提供有价值的见解。