Life-saving hemicraniectomy for fulminant acute disseminated encephalomyelitis.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Dombrowski, KE; Mehta, AI; Turner, DA; McDonagh, DL

Published Date

  • April 2011

Published In

Volume / Issue

  • 25 / 2

Start / End Page

  • 249 - 252

PubMed ID

  • 21344963

Electronic International Standard Serial Number (EISSN)

  • 1360-046X

Digital Object Identifier (DOI)

  • 10.3109/02688697.2010.544784


  • eng

Conference Location

  • England