Korean J Med.  2001 Aug;61(2):215-220.

A case of acute disseminated encephalomyelitis with liver abscess

• Shin JW
• Hahn BC
• Shin DW
• Chun JH
• Hahn YS
• Lim JH
• Shim YB
• Cho YD
• Suh SY

Abstract

Acute disseminated encephalomyelitis (ADEM) is an acute inflammatory demyelinating disease of central nervous system, and is related to allergic or immune-mediated reaction to systemic viral infection or vaccination, which is usually self limited monophasic illness. As the clinical manifestations or laboratory findings is nonspecific, it is diagnosed by brain magnetic resonance imaging (MRI) showing multiple foci of increased T2 signal within white matter. We report the clinical and radiologic imaging findings in a 36-year-old man in whom acute disseminated encephalomyelitis developed after serologically proven herpes infection combined with liver abscess. His clinical course, despite without corticosteroid or plasmapheresis because of liver abscess, was shown spontaneous remission.

Keyword

Encephalomyelitis, Acute disseminated; Liver abscess

MeSH Terms

Adult
Brain
Central Nervous System
Demyelinating Diseases
Encephalomyelitis, Acute Disseminated*
Humans
Liver Abscess*
Liver*
Magnetic Resonance Imaging
Plasmapheresis
Remission, Spontaneous
Vaccination