Acute Disseminated Encephalomyelitis Following Infectious Mononucleosis
STS Instructor Authored by Robert Turner
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Study at a glance
- Area
- Other research
- Study type
- Case study
- Authors
- Bahadori HR, Williams VC, Turner RP, Rumboldt Z, Reigart JR, Fowler SL, Chavis PS, Maria BL
- Journal
- Journal of Child Neurology
- Year
- 2007
- Participants
- 1
- Population
- Adolescents
Key findings
- Seizures, visual changes and altered mental status began two months after Epstein-Barr infection
- Brain MRI fitted acute disseminated encephalomyelitis, with no evidence of arteritis
- Viral testing was consistent with a post-infectious process
- Symptoms improved with high-dose corticosteroids and intravenous immunoglobulin
A case report of a 17-year-old girl who developed seizures, episodes of visual disturbance and altered mental state two months after Epstein-Barr virus infection (glandular fever). MRI showed white-matter changes typical of acute disseminated encephalomyelitis, an inflammatory brain condition, concentrated in areas supplied by the posterior cerebral arteries, with no sign of inflamed blood vessels, and blood tests pointed to a post-infectious cause. She improved after high-dose steroids and intravenous immunoglobulin.