재발한 급성 파종성 뇌척수염 1례

A Case of Recurrent Acute Disseminated Encephalomyelitis

Acute disseminated encephalomyelitis is acute central nervous system inflammatory demyelinating disease, severely damaging white matter and leading to marked neurologic dysfunction, may be fatal, produce permanent residual static disability. or be fully reversible. It is now believed that the experimental and the naturally occurring disease are the result of an autoimmune process. There has been a tendency to assume that only a single attack occurs. But recurrent episodes are encountered on rare occasions. We experienced a case of recurrent acute disseminated encephalomyelitis. The patient, an 5 years old girl. was readmitted by fever, headache, and lethargy. She had been diagnosed as acute disseminated encephalomyelitis at 10 months age, and showed complete recovery after steroid therpy. The history, neurologic examination, laboratory and brain MRI findings are all similar with first attack. Follow up brain MRI after 4 weeks demonstrated complete resolution of the lesions, and her clinical symptoms was also disappeared. So, we presented with brief review of the literatures.