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Life-saving hemicraniectomy for fulminant acute disseminated encephalomyelitis.

Publication ,  Journal Article
Dombrowski, KE; Mehta, AI; Turner, DA; McDonagh, DL
Published in: Br J Neurosurg
April 2011

Fulminant acute disseminated encephalomyelitis (ADEM) is a rare demyelinating disorder, which most often occurs after an infection or vaccination. It frequently presents with focal neurologic signs and an altered sensorium. Patients often require critical care for airway management but are typically treated with medical therapy alone, including intravenous steroids and other immunotherapies. We present a case of dominant hemisphere fulminant ADEM in a patient who required neurosurgical intervention and a life-saving hemicraniectomy despite maximum medical therapy.

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Published In

Br J Neurosurg

DOI

EISSN

1360-046X

Publication Date

April 2011

Volume

25

Issue

2

Start / End Page

249 / 252

Location

England

Related Subject Headings

  • Treatment Outcome
  • Salvage Therapy
  • Neurology & Neurosurgery
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Encephalomyelitis, Acute Disseminated
  • Decompressive Craniectomy
  • Aphasia
  • Adult
 

Citation

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ICMJE
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Dombrowski, K. E., Mehta, A. I., Turner, D. A., & McDonagh, D. L. (2011). Life-saving hemicraniectomy for fulminant acute disseminated encephalomyelitis. Br J Neurosurg, 25(2), 249–252. https://doi.org/10.3109/02688697.2010.544784
Dombrowski, Keith E., Ankit I. Mehta, Dennis A. Turner, and David L. McDonagh. “Life-saving hemicraniectomy for fulminant acute disseminated encephalomyelitis.Br J Neurosurg 25, no. 2 (April 2011): 249–52. https://doi.org/10.3109/02688697.2010.544784.
Dombrowski KE, Mehta AI, Turner DA, McDonagh DL. Life-saving hemicraniectomy for fulminant acute disseminated encephalomyelitis. Br J Neurosurg. 2011 Apr;25(2):249–52.
Dombrowski, Keith E., et al. “Life-saving hemicraniectomy for fulminant acute disseminated encephalomyelitis.Br J Neurosurg, vol. 25, no. 2, Apr. 2011, pp. 249–52. Pubmed, doi:10.3109/02688697.2010.544784.
Dombrowski KE, Mehta AI, Turner DA, McDonagh DL. Life-saving hemicraniectomy for fulminant acute disseminated encephalomyelitis. Br J Neurosurg. 2011 Apr;25(2):249–252.

Published In

Br J Neurosurg

DOI

EISSN

1360-046X

Publication Date

April 2011

Volume

25

Issue

2

Start / End Page

249 / 252

Location

England

Related Subject Headings

  • Treatment Outcome
  • Salvage Therapy
  • Neurology & Neurosurgery
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Encephalomyelitis, Acute Disseminated
  • Decompressive Craniectomy
  • Aphasia
  • Adult