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A case of acute disseminated encephalomyelitis presenting with vertigo.
- Source :
-
Auris, nasus, larynx [Auris Nasus Larynx] 2008 Mar; Vol. 35 (1), pp. 127-30. Date of Electronic Publication: 2007 Sep 14. - Publication Year :
- 2008
-
Abstract
- We report a 37-year-old woman with acute disseminated encephalomyelitis (ADEM) who presented with progressive vertigo. A central nervous system disorder was initially suspected because gaze-evoked torsional nystagmus was observed and electrical nystagmography (ENG) revealed abnormal eye movements with saccadic ocular pursuit and pathological optokinetic nystagmus. Finally ADEM was diagnosed by the clinical symptoms and the characteristic patterns of brain MRI. It is rare for otolaryngologists to examine patients with ADEM. ADEM takes an acute course and can present a grave state and therefore needs early diagnosis, early treatment. We have to keep ADEM in mind in the diagnosis of vertigo.
- Subjects :
- Adult
Brain pathology
Brain physiopathology
Diagnosis, Differential
Early Diagnosis
Electronystagmography
Encephalomyelitis, Acute Disseminated physiopathology
Female
Humans
Magnetic Resonance Imaging
Nystagmus, Optokinetic physiology
Pursuit, Smooth physiology
Saccades physiology
Vertigo diagnosis
Vertigo physiopathology
Encephalomyelitis, Acute Disseminated diagnosis
Vertigo etiology
Subjects
Details
- Language :
- English
- ISSN :
- 0385-8146
- Volume :
- 35
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Auris, nasus, larynx
- Publication Type :
- Academic Journal
- Accession number :
- 17869464
- Full Text :
- https://doi.org/10.1016/j.anl.2007.06.006