Plasmapheresis in a child affected by acute disseminated encephalomyelitis

被引：36

作者：

Balestri, P

Grosso, S

Acquaviva, A

Bernini, M

机构：

[1] Univ Siena, Inst Pediat Clin, I-53100 Siena, Italy

[2] Azienda Osped Senese, Nephrol & Dialysis Unit, I-53100 Siena, Italy

来源：

BRAIN & DEVELOPMENT | 2000年 / 22卷 / 02期

关键词：

acute disseminated encephalomyelitis; post-infectious encephalitis; brain demyelination; plasmapheresis;

D O I：

10.1016/S0387-7604(99)00115-1

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We describe an eight year old girl with acute relapsing disseminated encephalomyelitis (ADEM) who began to improve concomitantly with plasmapheresis therapy. The patient had previously undergone high-dose intravenous methylprednisolone, intravenous immunoglobulins and Interferon beta-lb treatment which did not control the clinical course of the disease. The long term follow-up suggests that plasmapheresis is effective in this disorder and may give better results than steroids or IVIG. (C) 2000 Elsevier Science B.V. All rights reserved.

引用

收藏

页码：123 / 126

页数：4

相关论文

共 17 条

[1]

ALVORD EC, 1985, HDB CLIN NEUROLOGY, V47, P467

[2] MRI IN ACUTE DISSEMINATED ENCEPHALOMYELITIS [J].

CALDEMEYER, KS ;

SMITH, RR ;

HARRIS, TM ;

EDWARDS, MK .

NEURORADIOLOGY, 1994, 36 (03) :216-220

[3] Chemical pathology of acute demyelinating lesions and its correlation with disability [J].

DeStefano, N ;

Matthews, PM ;

Antel, JP ;

Preul, M ;

Francis, G ;

Arnold, DL .

ANNALS OF NEUROLOGY, 1995, 38 (06) :901-909

[4] Intravenous gammaglobulin therapy in recurrent acute disseminated encephalomyelitis [J].

Hahn, JS ;

Siegler, DJ ;

Enzmann, D .

NEUROLOGY, 1996, 46 (04) :1173-1174

[5] THE PATHOGENESIS OF ACUTE VIRAL ENCEPHALITIS AND POSTINFECTIOUS ENCEPHALOMYELITIS [J].

JOHNSON, RT .

JOURNAL OF INFECTIOUS DISEASES, 1987, 155 (03) :359-364

[6] PLASMAPHERESIS IN FULMINANT ACUTE DISSEMINATED ENCEPHALOMYELITIS [J].

KANTER, DS ;

HORENSKY, D ;

SPERLING, RA ;

KAPLAN, JD ;

MALACHOWSKI, ME ;

CHURCHILL, WH .

NEUROLOGY, 1995, 45 (04) :824-827

[7] LARGE FOCAL TUMOR-LIKE DEMYELINATING LESIONS OF THE BRAIN - INTERMEDIATE ENTITY BETWEEN MULTIPLE-SCLEROSIS AND ACUTE DISSEMINATED ENCEPHALOMYELITIS - A STUDY OF 31 PATIENTS [J].

KEPES, JJ .

ANNALS OF NEUROLOGY, 1993, 33 (01) :18-27

[8] ACUTE DISSEMINATED ENCEPHALOMYELITIS - MRI FINDINGS AND THE DISTINCTION FROM MULTIPLE-SCLEROSIS [J].

KESSELRING, J ;

MILLER, DH ;

ROBB, SA ;

KENDALL, BE ;

MOSELEY, IF ;

KINGSLEY, D ;

DUBOULAY, EPGH ;

MCDONALD, WI .

BRAIN, 1990, 113 :291-302

[9] ACUTE DISSEMINATED ENCEPHALOMYELITIS - RESPONSE TO INTRAVENOUS IMMUNOGLOBULIN [J].

KLEIMAN, M ;

BRUNQUELL, P .

JOURNAL OF CHILD NEUROLOGY, 1995, 10 (06) :481-483

[10] IMMUNOLOGICAL ASPECTS OF DEMYELINATING DISEASES [J].

MARTIN, R ;

MCFARLAND, HF ;

MCFARLIN, DE .

ANNUAL REVIEW OF IMMUNOLOGY, 1992, 10 :153-187