An Insight into Acute Disseminated Encephalomyelitis

Nooreen, Fariha Summayya, Prany Wal, A. Wal, A. Rai, Sudeep Tandon
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Abstract

Acute disseminated encephalomyelitis (ADEM) is a neural and immune-related disorder that occurs when the cerebrospinal system is damaged by extensive swelling. Although manifestation is possible regardless of age, adolescents have a greater probability. The purpose of the present manuscript is to provide recent advancements and enhance knowledge of the disease. The literature search on etiology, pathophysiology, diagnosis and treatment was carried out using the online databases of SciFinder, Medline, Pubmed, GoogleScholar, Scopus, etc. Although the cause of ADEM remains unclear, it is believed to be caused by inflammation in those with a genetic sensitivity to environmental stimulation. When people have altered levels of awareness or multifocal neurological abnormalities, ADEM is a possibility as a diagnosis. The diagnosis of ADEM is dependent on a combination of clinical and radiologic symptoms, whereas the exclusion of illnesses mimics ADEM; there is no one test that can establish the diagnosis. The inflammation in a child's brain and spinal cord is treated with medication. Prednisone is occasionally given to youngsters for a brief amount of time. Most children with ADEM improve with high doses of methylprednisolone. Cyclophosphamide is needed by individuals with hypothermia. Most investigations show that 50%- 75% of individuals completely recover between the first and sixth month of their condition.
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透视急性播散性脑脊髓炎
急性播散性脑脊髓炎(ADEM)是一种神经和免疫相关疾病,当脑脊髓系统因广泛肿胀而受损时就会发病。本手稿旨在提供最新进展并增进对该疾病的了解。我们使用 SciFinder、Medline、Pubmed、GoogleScholar、Scopus 等在线数据库对病因学、病理生理学、诊断和治疗进行了文献检索。虽然 ADEM 的病因尚不清楚,但认为它是由那些对环境刺激具有遗传敏感性的人的炎症引起的。虽然 ADEM 的病因尚不清楚,但一般认为是由对环境刺激具有遗传敏感性的人体内的炎症引起的。当人的意识水平发生改变或出现多灶性神经系统异常时,ADEM 就有可能被诊断出来。ADEM 的诊断取决于临床症状和放射学症状的结合,而排除与 ADEM 相似的疾病;没有一种检查可以确定诊断。儿童大脑和脊髓的炎症可通过药物治疗。大多数 ADEM 患儿在服用大剂量甲基强的松龙后病情会有所好转。体温过低的患者需要使用环磷酰胺。大多数调查显示,50%-75%的患者在病情的第一至第六个月期间完全康复。
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来源期刊
Current aging science
Current aging science Medicine-Geriatrics and Gerontology
CiteScore
3.90
自引率
0.00%
发文量
40
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