A Case of Difficulty for Differential Diagnosis between Encephalitis and Acute Disseminated Encephalomyelitis

Accession number;06A0542395
Title;A Case of Difficulty for Differential Diagnosis between Encephalitis and Acute Disseminated Encephalomyelitis
Author; YANAGAWA YOICHI (National Defense Medical Coll., Hospital, JPN) KIYOZUMI TETSURO (National Defense Medical Coll., Hospital, JPN) OKADA YOSHIAKI (National Defense Medical Coll., Hospital, JPN) OGAWA GO (National Defense Medical Coll., JPN) KAIDA KEN'ICHI (National Defense Medical Coll., JPN) KAMAKURA KEIKO (National Defense Medical Coll., JPN)
Journal Title;Brain Nerve
Journal Code:Z0685A
ISSN:0006-8969
VOL.58;NO.6;PAGE.509-513(2006)
Figure&Table&Reference;FIG.2, REF.24
Pub. Country;Japan
Language;Japanese
Abstract;A seventy-four-male with disorientation and convulsion was transferred to this hospital after three days fever which was unknown origin. Because the examination of cerebrospinal fluid were; cell count 1,560/3 (N:L=4:1), protein 305mg/dl, sugar 91mg/dl, he was treated as encephalitis. However, MRI of the 18th hospital day revealed bilateral thalamic lesion and disseminated white matter lesions, suggesting acute disseminated encephalomyelitis. He left dementia after treatment and transferred to another hospital. Since, it is difficult to make a differential diagnosis between encephalitis and acute disseminated encephalomyelitis, early establishment of diagnostic criteria for acute disseminated encephalomyelitis is required. (author abst.)
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