Dodick D W, Silber M H, Noseworthy J H, Wilbright W A, Rodriguez M
Department of Neurology, Mayo Clinic Scottsdale, AZ 85259, USA.
Mayo Clin Proc. 1998 Dec;73(12):1193-5. doi: 10.4065/73.12.1193.
Acute disseminated encephalomyelitis, an inflammatory demyelinating disease of the central nervous system, can occur after viral infections or vaccinations. We report the clinical and neuroimaging findings in a 52-year-old man in whom acute disseminated encephalomyelitis developed after accidental self-injection of an industrial hog vaccine. The protracted and progressive clinical course, despite high-dose parenteral corticosteroid therapy, was altered by aggressive plasmapheresis.
急性播散性脑脊髓炎是一种中枢神经系统的炎性脱髓鞘疾病，可发生于病毒感染或接种疫苗之后。我们报告了一名52岁男性患者的临床及神经影像学检查结果，该患者在意外自行注射工业用猪疫苗后患上了急性播散性脑脊髓炎。尽管接受了大剂量肠外皮质类固醇治疗，其病程迁延且呈进行性发展，但积极的血浆置换改变了这一情况。
