3,854 results match your criteria: "Acute Disseminated Encephalomyelitis"

[COVID-19 vaccine safety: results of active surveillance at a sentinel site in ArgentinaSegurança das vacinas contra COVID-19: resultados da vigilância ativa em uma unidade sentinela da Argentina].

Rev Panam Salud Publica

December 2024

Dirección de Control de Enfermedades Inmunoprevenibles Ministerio de Salud de la Nación Ciudad Autónoma de Buenos Aires Argentina Dirección de Control de Enfermedades Inmunoprevenibles, Ministerio de Salud de la Nación, Ciudad Autónoma de Buenos Aires, Argentina.

Objective: To analyze the results of surveillance of adverse events of special interest (AESI) within the context of the COVID-19 vaccination campaign at a sentinel site in Argentina. The retrospective (pre-vaccination) period was compared with the prospective (vaccination) period to identify safety signals.

Methods: Retrospective and prospective search for AESI based on ICD-10 hospital discharge codes.

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A unique case report revealing the elusive clinical phenomenon of meningitis retention syndrome.

Urol Case Rep

November 2024

Department of Urology & Renal Transplantation, Father Muller Medical College, Mangalore, Karnataka, 575002, India.

Meningitis retention syndrome (MRS) represents a rare condition in which there is meningitis accompanied by urinary retention in the absence of any other neurological symptoms. MRS is usually misdiagnosed as a urinary tract infection due to varied clinical symptoms. It is a self-limiting syndrome that often presents with prodromal symptoms of meningitis.

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Background: Acute necrotizing encephalopathy is a rare acute, explosive, and severe form of encephalopathy that predominantly occurs in children; however, it is infrequent in adults. The patient is typically caused by viral infection, with rapid onset of fever, convulsion, disturbance of consciousness, and other symptoms. It presents symmetrical, multifocal, involving bilateral thalamic damage and other typical imaging features.

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Background: Although pediatric optic neuritis (PON) is a rare condition, current advancements in its diagnosis, investigation, and treatment suggest that a more precise risk assessment is necessary given the history of irreversible damage and functional degeneration of the optic nerve. Additionally, after further investigations and/or new neurological events, the initial diagnosis is revised.

Aim: To report clinical profile, management and outcome of different demyelinating disease phenotypes of pediatric optic neuritis (PON) in individuals under the age of 18 years in a tertiary center in the Kingdom of Saudi Arabia (KSA).

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Background: Acute hemorrhagic leukoencephalitis (AHLE) or Weston-Hurst syndrome is a rare and severe variant of acute disseminated encephalomyelitis (ADEM). It causes fulminant hemorrhagic demyelination of the central nervous system, and has high mortality and morbidity. Due to the increase in cases and to its high rate of mortality, we decided to make a series of cases and a review of the disease.

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Disseminated Encephalomyelitis and Myositis in a 3-Month-Old Cane Corso Puppy.

Vet Sci

November 2024

Indiana Animal Disease Diagnostic Laboratory, West Lafayette, IN 47907, USA.

Article Synopsis
  • A 3-month-old Cane Corso puppy suffered from severe symptoms, including hindlimb lameness and eventual paralysis, leading to its critical condition at the Purdue Veterinary Hospital.
  • Blood tests revealed significant abnormalities, including high levels of creatine kinase, and the puppy tragically went into cardiac arrest shortly after diagnostics.
  • Necropsy findings showed widespread muscle degeneration and inflammation, along with protozoal cysts confirmed by elevated antibody levels, highlighting disseminated neosporosis as a rare but critical cause of ascending paresis in young dogs.
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Background: Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) is an immune-mediated, inflammatory, demyelinating disorder with a range of clinical presentations including acute disseminated encephalomyelitis (ADEM), optic neuritis (ON), myelitis, and cerebral cortical encephalitis. Phenotypic expression of MOGAD varies with age. MOG antibody (MOG-Ab) titers at disease onset, as well as longitudinally, may predict clinical disease course.

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Characteristics and predictors of disease course in children initially presenting with ADEM.

Mult Scler Relat Disord

October 2023

UCSF Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco, CA, United States.

ADEM is an inflammatory disease, with new onset polyfocal neurologic symptoms, encephalopathy and multifocal demyelination, typically in childhood. Initial diagnosis of ADEM is challenging and up to 20 % of children with MS or NMOSD are initially diagnosed with ADEM. We describe characteristics of patients with monophasic ADEM vs.

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Introduction: Acute disseminated encephalomyelitis (ADEM) is an acute autoimmune demyelinating disease of the central nervous system that typically follows an acute viral infection or post-vaccination. It is more common in children than in adults and is characterized by widespread demyelination of the white matter of the brain and spinal cord. ADEM typically presents as a monophasic illness.

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Overview of emerging therapies for demyelinating diseases.

World J Clin Cases

October 2024

Department of Neurosurgery, University of Florida, Gainesville, FL 32611, United States.

This paper provides an overview of autoimmune disorders of the central nervous system, specifically those caused by demyelination. We explore new research regarding potential therapeutic interventions, particularly those aimed at inducing remyelination. Remyelination is a detailed process, involving many cell types-oligodendrocyte precursor cells (OPCs), astrocytes, and microglia-and both the innate and adaptive immune systems.

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Background: Cytokines are potent molecules of the immune response. They act at the site of inflammation and circulate in the bloodstream. However, there are few studies on encephalitis and circulating inflammatory proteins.

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Background: Bilateral hemorrhagic thalamic lesions in dengue encephalitis resemble lesions seen in acute necrotizing encephalopathy (ANE). We investigate whether dengue-associated ANE (DANE) should be considered an ANE variant or a mimic.

Methods: Systematic review of dengue encephalitis literature from PubMed and SCOPUS (inception to December 31, 2022).

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Article Synopsis
  • * PSGN is a complication from group A streptococcal infections, leading to symptoms like edema and hypertension, but can also be associated with neurological conditions due to similarities in the immune response.
  • * The patient was treated initially with corticosteroids and later intravenous immunoglobulin (IVIG), resulting in complete symptom resolution, emphasizing the need to consider ADEM in pediatric PSGN cases with neurological symptoms after throat infections.
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[From influenza to white matter].

Orv Hetil

October 2024

1 Pécsi Tudományegyetem, Általános Orvostudományi Kar, Klinikai Központ, Gyermekgyógyászati Klinika Pécs, József Attila u. 7., 7623 Magyarország.

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A Case of Catatonia in a 37-Month-Old Child With MOG-Antibody-Positive Acute Disseminated Encephalomyelitis.

J Am Acad Child Adolesc Psychiatry

October 2024

Vanderbilt University Medical Center, Nashville, Tennessee; Vanderbilt Kennedy Center, Vanderbilt University, Magnolia Circle, Nashville, Tennessee. Electronic address:

In this Letter to the Editor, we examine a case of catatonia in a 37-month-old child with myelin oligodendrocyte glycoprotein (MOG) antibody-positive acute disseminated encephalomyelitis (ADEM). To our knowledge, this is one of the youngest cases of non-drug-related catatonia reported in the literature. We will discuss how this patient's symptoms of catatonia responded to pharmacologic interventions and the need to screen young children for catatonic symptoms, given the high rate of morbidity and mortality associated with the condition.

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Aim: To describe the impact of paediatric myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) on academic and cognitive outcomes.

Method: This was an observational, retrospective, and descriptive single-centre study, carried out on a paediatric case series of children with MOGAD.

Results: A total of 51 patients were included (22 females); their median age was 8 years and the median follow-up duration was 31.

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Pediatric MOG-Ab-Associated Encephalitis: Supporting Early Recognition and Treatment.

Neurol Neuroimmunol Neuroinflamm

December 2024

From the Department of Neurology (N.N.K., O.A.-M., Y.H.), Great Ormond Street Hospital for Children NHS Foundation Trust; Department of Neuroinflammation (N.N.K., D.C., O.A.-M., C.H., O.C., Y.H.), Institute of Neurology, University College London; Children's Neurosciences (M.E., V.L., M.L., T.R.), Evelina London Children's Hospital, Guy's and St Thomas NHS Foundation Trust; Department of Women and Children's Health (M.E., M.L., T.R.), School of Life Course Sciences (SoLCS), King's College London; Department of Paediatrics (A.S., S.R., J.P.), Children's Hospital, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust; Department of Paediatric Neurology (M.V.C.), Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust; Translational and Clinical Research Sir James Spence Institute (R.F.), University of Newcastle, Royal Victoria Infirmary; Department of Neurology (R.F.), Great North Children's Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust; Department of Neurology (R.K.), Alder Hey Children's Hospital, Alder Hey Children's NHS Foundation Trust, Liverpool; Department of Paediatric Neurology (D.R., Siobhan West), Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust; Department of Neurology (E.W., Sukhvir Wright), Birmingham Children's Hospital, Birmingham Women's and Children's NHS Foundation Trust; Department of Neuroradiology (A.B., K.M.), Great Ormond Street Hospital, Great Ormond Street Hospital Trust, London, United Kingdom; Department of Neurology (E.P.F.), Laboratory Medicine and Pathology and Center for Multiple Sclerosis and Autoimmune Neurology, Rochester, MN; NIHR University College London Hospitals Biomedical Research Centre (O.C.); and Department of Neuroinflammation (O.C.), National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, United Kingdom.

Article Synopsis
  • A study assessed children under 18 with antibodies to myelin oligodendrocyte glycoprotein (MOG-Ab), focusing on those with encephalitis who didn’t fit the criteria for acute disseminated encephalitis (ADEM), comparing them to those with ADEM.
  • Out of 235 MOG-Ab positive patients, 33 had encephalitis and 74 had ADEM, with common symptoms including headache, seizures, and fever; 24% had a normal initial brain MRI.
  • Findings indicated that children with encephalitis were generally older, more often admitted to intensive care, and had a delayed start of steroid treatment, suggesting MOG-Ab testing is essential for suspected encephalitis
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Cognitive Impairment, Associated Clinical Factors, and MR Volumetric Measures in Myelin Oligodendrocyte Glycoprotein-IgG-Associated Disease.

Neurol Neuroimmunol Neuroinflamm

December 2024

From the Department of Neurology (A.-K.K., T.L., C.S., N.S., C.P., S.L., R.G., R.S., I.A.); Institute of Neuroradiology (T.L., B.K., C.L., R.S.), St Josef Hospital, Ruhr University Bochum; Marianne-Strauß-Klinik (I.K.), Behandlungszentrum Kempfenhausen für Multiple Sklerose Kranke, Berg; Euroimmun Reference Laboratory (B.T.), Lübeck; Department of Neurology (M.R., O.A.), Medical Faculty; Department of Neurology (M.R.), Center for Neurology and Neuropsychiatry, LVR-Klinikum, Heinrich-Heine-University Düsseldorf; Center for Translational Neuro- and Behavioral Sciences (R.P.), University Medicine Essen, University of Duisburg-Essen, Germany; Department of Neurology (I.-K.P.), Inselspital, Bern University Hospital, University of Bern, Switzerland; and COGITO Center for Applied Neurocognition and Neuropsychological Research (I.-K.P.), Düsseldorf, Germany.

Article Synopsis
  • Cognitive impairment is a significant issue in myelin oligodendrocyte glycoprotein-IgG-associated disease (MOGAD), with a study showing that about 21.9% of patients experience cognitive deficits, particularly in mental flexibility and attention.
  • The study involved 32 MOGAD patients and analyzed clinical factors like age and previous relapses, finding that the overall number of relapses and past episodes of acute disseminated encephalomyelitis (ADEM) were linked to increased cognitive impairment risk.
  • MRI results indicated that patients with MOGAD had reduced white and deep gray matter volumes compared to healthy controls, highlighting potential neurological damage in this condition.
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Article Synopsis
  • The study investigates the inflammatory response of the central nervous system (CNS) to traumatic brain injury (TBI) using mass-spectrometry, comparing it to other CNS injuries and healthy controls.
  • A total of 56 patients' cerebrospinal fluid (CSF) was analyzed, revealing significant differences in protein concentrations, with 55 proteins differing between TBI and noninfectious CNS disorders and 51 proteins differing between TBI and healthy controls.
  • Notably, two proteins were uniquely identified in all TBI samples, and the study emphasizes the complexity of the inflammatory responses in various CNS conditions.
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Incontinentia pigmenti.

Semin Pediatr Neurol

October 2024

Children's Hospital Los Angeles, Division of Neurology, 46450 Sunset Blvd, MS#82, Los Angeles, CA 90027, USA. Electronic address:

Article Synopsis
  • Incontinentia pigmenti (IP) is a rare genetic disorder mainly affecting females, characterized by evolving skin lesions and often leading to complications in various ectoderm-derived systems like the CNS, eyes, and teeth.
  • The condition can result in serious neurological issues during infancy, such as strokes and chronic problems like epilepsy and intellectual disabilities.
  • Recent advancements have improved the understanding of IP, aiding in diagnosis and management, with neurologists being crucial in the ongoing care of affected individuals.
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