Acute disseminated encephalomyelitis with delayed onset and feasibility of the Miethke shunt and sensor reservoir system: a case report.
Gunnar LimingaAnna GrabowskaDýrleif PétursdóttirKristina G CesariniElham RostamiChristoffer EhrstedtPublished in: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery (2021)
Acute disseminated encephalomyelitis (ADEM) is an immune-mediated demyelinating central nervous system disorder with predilection for early childhood. Delayed onset of ADEM is rare, and herein we present a previously healthy 5-year-old boy, with an unusual clinical course of ADEM with high intracranial pressure (ICP) and acute visual loss that was at first diagnosed as idiopathic intracranial hypertension without papilledema (IIHWOP). The boy underwent acute neurosurgical intervention with ventriculoperitoneal (VP) shunt using Miethke valve and sensor reservoir system and received high-dose steroid treatment with symptom relieve within days. This is the first case report using this system in such a young child, and we find it feasible and valuable also in younger children when VP shunt with ICP measurement is indicated.
Keyphrases
- liver failure
- respiratory failure
- high dose
- drug induced
- aortic dissection
- case report
- randomized controlled trial
- pulmonary artery
- hepatitis b virus
- mental health
- low dose
- coronary artery
- intensive care unit
- heart failure
- stem cell transplantation
- pulmonary hypertension
- cerebrospinal fluid
- disease virus
- left ventricular
- patient reported
- aortic stenosis