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Gadolinium ring enhancement and mass effect in acute disseminated encephalomyelitis
A 9-year-old boy presented with a subacute history of optic neuritis followed by brainstem involvement, with fever and a lymphocytic pleocytosis in the cerebrospinal fluid. Gadolinium-enhancing ring lesions were demonstrated in the white matter of the cerebrum, brain-stem and cerebellum on day 17 of...
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Published in: | Neuroradiology 1994-04, Vol.36 (3), p.221-223 |
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creator | VAN DER MEYDEN, C. H DE VILLIERS, J. F. K MIDDLECOTE, B. D TERBLANCHE, J |
description | A 9-year-old boy presented with a subacute history of optic neuritis followed by brainstem involvement, with fever and a lymphocytic pleocytosis in the cerebrospinal fluid. Gadolinium-enhancing ring lesions were demonstrated in the white matter of the cerebrum, brain-stem and cerebellum on day 17 of the illness, all appearing simultaneously as part of a monophasic illness. A parietal lesion exerted mass effect. Needling and biopsy yielded no evidence of a pyogenic lesion, tumour or tuberculosis and showed vasculitis. There was insufficient material for myelin staining. Dexamethasone therapy lead to rapid improvement of the radiological lesions: MRI and CT on day 34 of the illness showed complete clearing of the lesions except for residual abnormality at the biopsy site. |
doi_str_mv | 10.1007/BF00588135 |
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Brain stem syndromes ; Encephalomyelitis - diagnosis ; Encephalomyelitis - drug therapy ; Encephalomyelitis - pathology ; Follow-Up Studies ; Gadolinium DTPA ; Humans ; Magnetic Resonance Imaging - methods ; Male ; Medical sciences ; Meninges - blood supply ; Nervous system (semeiology, syndromes) ; Neurology ; Optic Neuritis - diagnosis ; Optic Neuritis - drug therapy ; Optic Neuritis - pathology ; Organometallic Compounds ; Pentetic Acid - analogs & derivatives ; Vasculitis - diagnosis ; Vasculitis - drug therapy ; Vasculitis - pathology</subject><ispartof>Neuroradiology, 1994-04, Vol.36 (3), p.221-223</ispartof><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c311t-c8c0a6c5f1af5ad48482df3caeee751bb4927683e70fef03e35a802b32ba547a3</citedby><cites>FETCH-LOGICAL-c311t-c8c0a6c5f1af5ad48482df3caeee751bb4927683e70fef03e35a802b32ba547a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4044025$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8041444$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>VAN DER MEYDEN, C. H</creatorcontrib><creatorcontrib>DE VILLIERS, J. F. K</creatorcontrib><creatorcontrib>MIDDLECOTE, B. D</creatorcontrib><creatorcontrib>TERBLANCHE, J</creatorcontrib><title>Gadolinium ring enhancement and mass effect in acute disseminated encephalomyelitis</title><title>Neuroradiology</title><addtitle>Neuroradiology</addtitle><description>A 9-year-old boy presented with a subacute history of optic neuritis followed by brainstem involvement, with fever and a lymphocytic pleocytosis in the cerebrospinal fluid. Gadolinium-enhancing ring lesions were demonstrated in the white matter of the cerebrum, brain-stem and cerebellum on day 17 of the illness, all appearing simultaneously as part of a monophasic illness. A parietal lesion exerted mass effect. Needling and biopsy yielded no evidence of a pyogenic lesion, tumour or tuberculosis and showed vasculitis. There was insufficient material for myelin staining. Dexamethasone therapy lead to rapid improvement of the radiological lesions: MRI and CT on day 34 of the illness showed complete clearing of the lesions except for residual abnormality at the biopsy site.</description><subject>Acute Disease</subject><subject>Biological and medical sciences</subject><subject>Biopsy, Needle</subject><subject>Brain - blood supply</subject><subject>Brain - pathology</subject><subject>Child</subject><subject>Contrast Media</subject><subject>Dexamethasone - administration & dosage</subject><subject>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</subject><subject>Encephalomyelitis - diagnosis</subject><subject>Encephalomyelitis - drug therapy</subject><subject>Encephalomyelitis - pathology</subject><subject>Follow-Up Studies</subject><subject>Gadolinium DTPA</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Meninges - blood supply</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Optic Neuritis - diagnosis</subject><subject>Optic Neuritis - drug therapy</subject><subject>Optic Neuritis - pathology</subject><subject>Organometallic Compounds</subject><subject>Pentetic Acid - analogs & derivatives</subject><subject>Vasculitis - diagnosis</subject><subject>Vasculitis - drug therapy</subject><subject>Vasculitis - pathology</subject><issn>0028-3940</issn><issn>1432-1920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><recordid>eNpFkM9Lw0AQhRdRaq1evAs5iAchOvsjzfaoxapQ8KCew2Qza1eym5pNDv3vjTRUGJjD-947fIxdcrjjAPn94wog05rL7IhNuZIi5QsBx2wKIHQqFwpO2VmM3wAgc5lP2ESD4kqpKXt_xqqpXXC9T1oXvhIKGwyGPIUuwVAlHmNMyFoyXeJCgqbvKKlcjORdwI6qoWFou8G68TuqXefiOTuxWEe6GP-Mfa6ePpYv6frt-XX5sE6N5LxLjTaAc5NZjjbDSmmlRWWlQSLKM16WaiHyuZaUgyULkmSGGkQpRYmZylHO2M1-d9s2Pz3FrvAuGqprDNT0scjnc6GHG8DbPWjaJsaWbLFtncd2V3Ao_gwW_wYH-Gpc7UtP1QEdlQ359ZhjNFjbdtDl4gFToBSITP4CZKV4sQ</recordid><startdate>19940401</startdate><enddate>19940401</enddate><creator>VAN DER MEYDEN, C. 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D ; TERBLANCHE, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-c8c0a6c5f1af5ad48482df3caeee751bb4927683e70fef03e35a802b32ba547a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Acute Disease</topic><topic>Biological and medical sciences</topic><topic>Biopsy, Needle</topic><topic>Brain - blood supply</topic><topic>Brain - pathology</topic><topic>Child</topic><topic>Contrast Media</topic><topic>Dexamethasone - administration & dosage</topic><topic>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</topic><topic>Encephalomyelitis - diagnosis</topic><topic>Encephalomyelitis - drug therapy</topic><topic>Encephalomyelitis - pathology</topic><topic>Follow-Up Studies</topic><topic>Gadolinium DTPA</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Meninges - blood supply</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Optic Neuritis - diagnosis</topic><topic>Optic Neuritis - drug therapy</topic><topic>Optic Neuritis - pathology</topic><topic>Organometallic Compounds</topic><topic>Pentetic Acid - analogs & derivatives</topic><topic>Vasculitis - diagnosis</topic><topic>Vasculitis - drug therapy</topic><topic>Vasculitis - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>VAN DER MEYDEN, C. H</creatorcontrib><creatorcontrib>DE VILLIERS, J. F. K</creatorcontrib><creatorcontrib>MIDDLECOTE, B. D</creatorcontrib><creatorcontrib>TERBLANCHE, J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neuroradiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>VAN DER MEYDEN, C. H</au><au>DE VILLIERS, J. F. K</au><au>MIDDLECOTE, B. D</au><au>TERBLANCHE, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gadolinium ring enhancement and mass effect in acute disseminated encephalomyelitis</atitle><jtitle>Neuroradiology</jtitle><addtitle>Neuroradiology</addtitle><date>1994-04-01</date><risdate>1994</risdate><volume>36</volume><issue>3</issue><spage>221</spage><epage>223</epage><pages>221-223</pages><issn>0028-3940</issn><eissn>1432-1920</eissn><coden>NRDYAB</coden><abstract>A 9-year-old boy presented with a subacute history of optic neuritis followed by brainstem involvement, with fever and a lymphocytic pleocytosis in the cerebrospinal fluid. Gadolinium-enhancing ring lesions were demonstrated in the white matter of the cerebrum, brain-stem and cerebellum on day 17 of the illness, all appearing simultaneously as part of a monophasic illness. A parietal lesion exerted mass effect. Needling and biopsy yielded no evidence of a pyogenic lesion, tumour or tuberculosis and showed vasculitis. There was insufficient material for myelin staining. Dexamethasone therapy lead to rapid improvement of the radiological lesions: MRI and CT on day 34 of the illness showed complete clearing of the lesions except for residual abnormality at the biopsy site.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>8041444</pmid><doi>10.1007/BF00588135</doi><tpages>3</tpages></addata></record> |
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source | Springer Online Journal Archives (Through 1996) |
subjects | Acute Disease Biological and medical sciences Biopsy, Needle Brain - blood supply Brain - pathology Child Contrast Media Dexamethasone - administration & dosage Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes Encephalomyelitis - diagnosis Encephalomyelitis - drug therapy Encephalomyelitis - pathology Follow-Up Studies Gadolinium DTPA Humans Magnetic Resonance Imaging - methods Male Medical sciences Meninges - blood supply Nervous system (semeiology, syndromes) Neurology Optic Neuritis - diagnosis Optic Neuritis - drug therapy Optic Neuritis - pathology Organometallic Compounds Pentetic Acid - analogs & derivatives Vasculitis - diagnosis Vasculitis - drug therapy Vasculitis - pathology |
title | Gadolinium ring enhancement and mass effect in acute disseminated encephalomyelitis |
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