Life-saving hemicraniectomy for fulminant acute disseminated encephalomyelitis

Keith E. Dombrowski, Ankit I. Mehta, Dennis A. Turner, David L. McDonagh

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)249-252
Number of pages4
JournalBritish Journal of Neurosurgery
Volume25
Issue number2
DOIs
StatePublished - Apr 1 2011

Keywords

  • Acute disseminated encephalomyelitis
  • cerebral herniation
  • dominant hemisphere
  • hemicraniectomy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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