Cerebellar hemorrhage as the primary clinical manifestation of hyperacute disseminated encephalomyelitis: a case report
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Acute disseminated encephalomyelitis (ADEM) is an acute inflammatory demyelinating encephalopathy with extensive involvement of the white matter. The clinical manifestations include headache, epileptic seizures, ataxia, quadriplegia, mental symptoms, altered consciousness and other multifocal neurological dysfunctions. Acute hemorrhagic leukoencephalitis (AHLE) is a relatively rare inflammatory demyelinating disease of the central nervous system that is considered a hyperacute type of ADEM . There are no clinical reports of hyperacute ADEM in which cerebellar symptoms are the primary manifestation. We report a case of hyperacute ADEM with cerebellar hemorrhage as the primary manifestation.
A 32 year old Chinese woman underwent surgical treatment for right congenital blepharoptosis. The patient developed dizziness, vertigo and nausea that improved in the supine position by post-operative day (POD) 7. These symptoms gradually worsened and were accompanied with...
This research was supported by National Natural Science Foundation of China (No. 81870943) and Shang dong Provincial Nature Fund Joint Special Fund Project (ZR2018LH006).
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Conflict of interest
The authors declare no conflict of interest related to the present work.
The study was approved by the local Ethics Committee of the Affiliated Hospital of Wei fang Medical University.
The patient provided written informed consent for the study participation.
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