[Diagnosis of acute disseminated encephalomyelitis using a stereotaxic biopsy: Report of one case]

Rev Med Chil. 2006 Jul;134(7):883-6. doi: 10.4067/s0034-98872006000700012. Epub 2006 Aug 29.
[Article in Spanish]

Abstract

We report a 15 year-old female presenting with behavioral disturbances, headache, left hemiparesis and paresis of the vertical gaze. CAT scan and magnetic resonance showed an involvement of right thalamus, third ventricle and medial temporal lobe suggesting an encephalitis or lymphoma. 201Thalium SPECT suggested a lymphoma. A stereotaxic biopsy showed a subacute demyelinizing lesion, compatible with an acute disseminated encephalomyelitis. The patient was treated with Methylprednisolone with resolution of symptoms. She remains in good condition after one year of follow-up.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adolescent
  • Anti-Inflammatory Agents / therapeutic use
  • Biopsy, Needle / methods
  • Encephalomyelitis, Acute Disseminated / drug therapy
  • Encephalomyelitis, Acute Disseminated / pathology*
  • Female
  • Humans
  • Methylprednisolone / therapeutic use
  • Thallium Radioisotopes
  • Tomography, Emission-Computed, Single-Photon

Substances

  • Anti-Inflammatory Agents
  • Thallium Radioisotopes
  • Methylprednisolone