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KMID : 0391519960030020218
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Journal of the Korean Child Neurology Society
1996 Volume.3 No. 2 p.218 ~ p.225
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A Case of Acute Disseminated Encephalomyelitis: Unilateral Involvement in A 6 Month-old Female Infant
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박기원
김근모/안여현/우영종/마재숙/류인훈
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Abstract
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A six months old female infant was admftted with an abrupt onset of high fever ard prolonged left hemiconvulsion followed by left hemiaresis. She had a history of an acute upper respiratory tract infection with improvement two weeks before the
admission. On admssion, EEG showed lazy phenomenon in the right side and diffuse slowing on the right hemisphere. MRI revealed multiple patchy lesions of high signal intensity in the right basal ganglia and periventricular areas on the T2WI.
There
was
no abnormal finding on the magnetic resonance angiography. The had recovered with conservative treatment and the unilateral brain lesions were progressively disappeared on the follow-up MRI studies. These unilateral demyelinating lesions might be
considered as one of the causes of acute infantile hemiplegia or hemiconvulsion-hemiplegia syndrome (HHS) in infancy, and the ADEM should be included as a cause of HHS.
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KEYWORD
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