%0 Journal Article
%T Encefalomielitis aguda diseminada y colitis ulcerosa: descripci車n de un caso cl赤nico Acute disseminated encephalomyelitis and ulcerative colitis: description of a clinical case in magnetic resonance
%A Jorge Guzm芍n S
%A Rodrigo Salinas R
%J Revista Chilena de Neuro-Psiquiatr赤a
%D 2012
%I Sociedad de Neurolog赤a, Psiquiatr赤a y Neurocirug赤a
%X La encefalomielitis aguda diseminada (EAD) es un trastorno desmielinizante agudo del Sistema Nervioso Central, caracterizado por la presentaci車n aguda de s赤ntomas y signos neurol車gicos en asociaci車n con hallazgos multifocales de desmielinizaci車n en las neuroim芍genes. Se describe en la literatura resoluci車n espont芍nea a los pocos d赤as de presentaci車n, con secuelas variables. La terapia corticoesteroidal acelerar赤a este tiempo de resoluci車n. Se ha relacionado con eventos infecciosos previos, y su relaci車n con otras enfermedades autoinmunes no es clara. Se presenta un caso de EAD en paciente con diagn車stico previo de pancolitis ulcerosa cuya sintomatolog赤a neurol車gica se resuelve tras 3 d赤as del ingreso hospitalario, sin secuelas evidentes, tras recibir tratamiento emp赤rico corto con Ampicilina, Ceftriaxona, Aciclovir y corticoides endovenosos en dosis de estr谷s. Acute disseminated encephalomyelitis (ADEM) is an acute demyelinatingdisorder of the central nervous system, characterized by an acute or subacute onset of neurological symptoms and focal signs in association with multifocal demyelinating findings on neuroimaging. Spontaneous resolution has been reported within days of onset, corticosteroids therapy accelerates the resolution time. ADEM has been associated with previous infections, and its relationship with other autoinmune disease is unclear. A case of ADEM is reported, in a patient previously diagnosed with ulcerative pancolitis, whose neurological symptoms resolved after 3 days of hospital admission without evident sequelae after receiving a short empirical treatment with ampicilin, ceftriaxone, acyclovir and intravenous steroids.
%K Encefalomielitis Aguda Diseminada
%K colitis ulcerosa
%K caso cl赤nico
%K Acute disseminated encephalomyelitis
%K ulcerative colitis
%K case report
%U http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-92272012000100007