An atypical case of acute disseminated encephalomyelitis associated with cytomegalovirus infection

作者：De Fino Chiara^*; Nociti Viviana; Modoni Anna; Bizzarro Alessandra; Mirabella Massimiliano

来源：Multiple Sclerosis and Related Disorders, 2016, 5: 70-72.

DOI：10.1016/j.msard.2015.11.003

• ADEM
• CMV
• MRI
• Spinal cord
• IVIg

We present the case of a young man admitted to our hospital for persistent headache associated with fever, retrorbitary pain and vomiting, who rapidly developed encephalopathy with drowsiness, paraplegia, hypoesthesia with a D6 sensory level and urinary retention. Brain and spinal cord MRI revealed findings compatible with acute disseminated encephalomyelitis (ADEM) and microbiological tests documented a cytomegalovirus (CMV) infection. CMV infection is extraordinarily associated with ADEM, but must be included in microbiological tests, because early diagnosis and treatment ameliorate the neurological outcome.

• 出版日期2016-1