학술논문

Acute Disseminated Encephalomyelitis Following Infectious Mononucleosis.
Document Type
Article
Source
Journal of Child Neurology. Mar2007, Vol. 22 Issue 3, p324-328. 5p.
Subject
*EPSTEIN-Barr virus
*VIRUS diseases
*ENCEPHALOMYELITIS
*MONONUCLEOSIS
*MAGNETIC resonance imaging
*CEREBRAL arteries
*ARTERITIS
*POLYMERASE chain reaction
*ADRENOCORTICAL hormones
*IMMUNOGLOBULINS
Language
ISSN
0883-0738
Abstract
Two months following an Epstein-Barr virus infection, a 17-year-old white female presented with seizures, intermit- tent visual changes, and altered mental status. Magnetic resonance imaging showed white matter changes of acute disseminated encephalomyelitis with a predilection for posterior cerebral artery distributions but without radiological evidence of arteritis. Epstein-Barr virus titers and polymerase chain reaction analysis results for the virus were consistent with postinfectious acute disseminated encephalomyelitis. The symptoms and signs improved following treatment with high-dose corticosteroids and intravenous immunoglobulin. Although Epstein-Barr virus can cause acute viral encephalomyelitis, the authors report a case of acute disseminated encephalomyelitis months after acute Epstein-Barr virus infection. [ABSTRACT FROM AUTHOR]