지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Acute hemorrhagic leukoencephalitis (AHLE) is an acute, rapidly progressing, fulminant demyelinating disease. It is a rare disease of the central nervous system with high mortality; survivors commonly present with significant neurological deficit. We report the case of a 16-month-old girl who survived AHLE and presented with the associated neurologic deficit. The patient came into the emergency department with febrile seizure. She showed bilateral pinpoint-sized pupils and hyperactive deep tendon reflexes. Her mental status was initially drowsy and rapidly progressed to stupor. Extensive demyelination and microbleeds were found in the cerebral white matter, thalamus and left cerebellum on Magnetic resonance imaging (MRI) scans. Her mental status was improved by intravenous administration of immunoglobulin and methylprednisolone. Five months after being discharged, increased white matter connectivity was found on color-coded follow-up MR diffusion tensor imaging (DTI) as compared to previous MRI. We therefore suggest adding the DTI technique when a follow-up MRI is performed in patients with AHLE. It could be useful to visualize the status of axonal injury and to encourage patients and their parents to continue the rehabilitation program.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Aung WY / 2013 / Diffusion tensor MRI as a biomarker in axonal and myelin damage / Imaging in medicine 5 : 427 ~ 440
Balasubramanya KS / 2007 / Diffusion-weighted imaging and proton MR spectroscopy in the characterization of acute disseminated encephalomyelitis / Neuroradiology 49 : 177 ~
Beppu T / 2005 / Fractional Anisotropy Value By Diffusion Tensor Magnetic Resonance Imaging as a Predictor of Cell Density and Proliferation Activity of Glioblastomas / Surg
Bondiau PY / 2008 / Biocomputing: Numerical Simulation of Gliblastoma Growth Using Diffusion Tensor Imaging / Phys Med Biol 53 : 879 ~ 893
Broich K / 1991 / HMPAO-SPECT and MRI in acute disseminated encephalomyelitis / Journal of nuclear medicine :official publication, Society of Nuclear Medicine 32 : 1897 ~ 19
Balasubramanya KS / 2007 / Diffusion-weighted imaging and proton MR spectroscopy in the characterization of acute disseminated encephalomyelitis / Neuroradiology 49 : 177 ~
Beppu T / 2005 / Fractional Anisotropy Value By Diffusion Tensor Magnetic Resonance Imaging as a Predictor of Cell Density and Proliferation Activity of Glioblastomas / Surg
Bondiau PY / 2008 / Biocomputing: Numerical Simulation of Gliblastoma Growth Using Diffusion Tensor Imaging / Phys Med Biol 53 : 879 ~ 893
Broich K / 1991 / HMPAO-SPECT and MRI in acute disseminated encephalomyelitis / Journal of nuclear medicine :official publication, Society of Nuclear Medicine 32 : 1897 ~ 19
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