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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1989 Sep;52(9):1100–1102. doi: 10.1136/jnnp.52.9.1100

Serial cerebral CT abnormalities in relapsing acute disseminated encephalomyelitis.

R W Walker 1, J Gawler 1
PMCID: PMC1031749  PMID: 2795082

Abstract

A 7 year old girl developed acute disseminated encephalomyelitis following a Mycoplasma pneumoniae respiratory infection. The illness followed a relapsing course during the first two months. Computed tomography (CT) showed cerebral lesions of a severity and extent out of proportion to the clinical manifestations. The CT abnormalities altered with changes in her clinical state.

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Selected References

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  1. ALCOCK N. S., HOFFMAN H. L. Recurrent encephalomyelitis in childhood. Arch Dis Child. 1962 Feb;37:40–44. doi: 10.1136/adc.37.191.40. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Atlas S. W., Grossman R. I., Goldberg H. I., Hackney D. B., Bilaniuk L. T., Zimmerman R. A. MR diagnosis of acute disseminated encephalomyelitis. J Comput Assist Tomogr. 1986 Sep-Oct;10(5):798–801. doi: 10.1097/00004728-198609000-00017. [DOI] [PubMed] [Google Scholar]
  3. Behan P. O., Feldman R. G., Segerra J. M., Draper I. T. Neurological aspects of mycoplasmal infection. Acta Neurol Scand. 1986 Oct;74(4):314–322. doi: 10.1111/j.1600-0404.1986.tb03521.x. [DOI] [PubMed] [Google Scholar]
  4. Broughton R. A. Infections due to Mycoplasma pneumoniae in childhood. Pediatr Infect Dis. 1986 Jan-Feb;5(1):71–85. doi: 10.1097/00006454-198601000-00014. [DOI] [PubMed] [Google Scholar]
  5. Dun V., Bale J. F., Jr, Zimmerman R. A., Perdue Z., Bell W. E. MRI in children with postinfectious disseminated encephalomyelitis. Magn Reson Imaging. 1986;4(1):25–32. doi: 10.1016/0730-725x(86)91086-6. [DOI] [PubMed] [Google Scholar]
  6. Duquette P., Murray T. J., Pleines J., Ebers G. C., Sadovnick D., Weldon P., Warren S., Paty D. W., Upton A., Hader W. Multiple sclerosis in childhood: clinical profile in 125 patients. J Pediatr. 1987 Sep;111(3):359–363. doi: 10.1016/s0022-3476(87)80454-7. [DOI] [PubMed] [Google Scholar]
  7. Durston J. H., Milnes J. N. Relapsing encephalomyelitis. Brain. 1970;93(4):715–730. doi: 10.1093/brain/93.4.715. [DOI] [PubMed] [Google Scholar]
  8. Gruber H. Motor innervation of the striated oesophagus muscle. Part 1. Intramural distribution of the right and left vagus nerve in the rat oesophagus as revealed by the glycogen depletion technique. J Neurol Sci. 1978 Mar;36(1):41–53. doi: 10.1016/0022-510x(78)90160-0. [DOI] [PubMed] [Google Scholar]
  9. Hart M. N., Earle K. M. Haemorrhagic and perivenous encephalitis: a clinical-pathological review of 38 cases. J Neurol Neurosurg Psychiatry. 1975 Jun;38(6):585–591. doi: 10.1136/jnnp.38.6.585. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Hauser S. L., Bresnan M. J., Reinherz E. L., Weiner H. L. Childhood multiple sclerosis: clinical features and demonstration of changes in T cell subsets with disease activity. Ann Neurol. 1982 May;11(5):463–468. doi: 10.1002/ana.410110505. [DOI] [PubMed] [Google Scholar]
  11. Johnson R. T. The pathogenesis of acute viral encephalitis and postinfectious encephalomyelitis. J Infect Dis. 1987 Mar;155(3):359–364. doi: 10.1093/infdis/155.3.359. [DOI] [PubMed] [Google Scholar]
  12. Kasahara I., Otsubo Y., Yanase T., Oshima H., Ichimaru H., Nakamura M. Isolation and characterization of Mycoplasma pneumoniae from cerebrospinal fluid of a patient with pneumonia and meningoencephalitis. J Infect Dis. 1985 Oct;152(4):823–825. doi: 10.1093/infdis/152.4.823. [DOI] [PubMed] [Google Scholar]
  13. Lane B., Carroll B. A., Pedley T. A. Computerized cranial tomography in cerebral diseases of white matter. Neurology. 1978 Jun;28(6):534–544. doi: 10.1212/wnl.28.6.534. [DOI] [PubMed] [Google Scholar]
  14. Lerer R. J., Kalavsky S. M. Central nervous system disease associated with Mycoplasma pneumoniae infection: report of five cases and review of the literature. Pediatrics. 1973 Nov;52(5):658–668. [PubMed] [Google Scholar]
  15. Lukes S. A., Norman D. Computed tomography in acute disseminated encephalomyelitis. Ann Neurol. 1983 May;13(5):567–572. doi: 10.1002/ana.410130516. [DOI] [PubMed] [Google Scholar]
  16. MILLER H. G., EVANS M. J. Prognosis in acute disseminated encephalomyelitis; with a note on neuromyelitis optica. Q J Med. 1953 Jul;22(87):347–379. [PubMed] [Google Scholar]
  17. Pasternak J. F., De Vivo D. C., Prensky A. L. Steroid-responsive encephalomyelitis in childhood. Neurology. 1980 May;30(5):481–486. doi: 10.1212/wnl.30.5.481. [DOI] [PubMed] [Google Scholar]
  18. Poser C. M., Román G., Emery E. S., 3rd Recurrent disseminated vasculomyelinopathy. Arch Neurol. 1978 Mar;35(3):166–170. doi: 10.1001/archneur.1978.00500270048010. [DOI] [PubMed] [Google Scholar]
  19. Smith T. F. Mycoplasma pneumoniae infections: diagnosis based on immunofluorescence titer of IgG and IgM antibodies. Mayo Clin Proc. 1986 Oct;61(10):830–831. doi: 10.1016/s0025-6196(12)64825-3. [DOI] [PubMed] [Google Scholar]
  20. Yahr M. D., Lobo-Antunes J. Relapsing encephalomyelitis following the use of influenza vaccine. Arch Neurol. 1972 Aug;27(2):182–183. doi: 10.1001/archneur.1972.00490140086012. [DOI] [PubMed] [Google Scholar]
  21. Ziegler D. K. Acute disseminated encephalitis. Some therapeutic and diagnostic considerations. Arch Neurol. 1966 May;14(5):476–488. doi: 10.1001/archneur.1966.00470110020003. [DOI] [PubMed] [Google Scholar]

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