DENG Qiang. Clinical analysis of 86 patients with acute disseminated encephalomyelitis[J]. Journal of Chongqing Medical University, 2007,(8):874-876.DOI:
Objective:To elucidate the clinical features of acute disseminated encephalomyelitis
as well as its diagnosis and treatment.Methods:The general clinical manifestations
lesion locations
the results of cardinal ancillary investigations
and treatment as well as prognosis of 86 ADEM patients were comprehensively analyzed.Results:ADEM mainly occurred in children
young and middle-aged people.Their onsets were relatively acute.The upper respiratory tract infection and vaccination
measles
german measles
chickenpox
mumps
scarlet fever were the main predisposing factors.The immunoglobin in CSF increased.Spinal cord
cerebellum
cerebral medullary substance and brain stem were often involved.Imaging investigations
electrophysiology and immunology were helpful for diagnosis.The administration of glucocorticoid was effective.Conclusion:In addition to clinical features
neuroelectrophysiology
CSF immunology and imaging investigations altogether greatly aid clinical definite diagnosis.It is important to treat the patients in time and properly for the better prognosis.