Acute disseminated encephalomyelitis (ADEM) is a rapid inflammatory and demyelinating process of the central nervous
system, mainly affecting the white matter, but also the gray matter. It usually occurs after viral infections or vaccinations. The case of a 26-year-old patient with sensory symptoms and weakness in the left extremities is presented. Tests showed brain and cerebellar lesions with possible demyelination. ADEM is suspected due to a history of herpes zoster. Corticosteroids are administered with satisfactory evolution. ADEM is a serious process that can affect children and adolescents and presents MRI findings similar to Multiple Sclerosis. The diagnosis is exclusionary, the treatment is with corticosteroids, but it can leave sequelae.
Polirradiculoneuropatía
Encefalomielitis aguda diseminada tras infección por herpes virus. Acute disseminated encephalomyelitis after herpes virus infection.
Síndrome de Guillain Barré: Reporte de un Caso Causado por Enterovirus. Guillain Barre Syndrome: Report Of a Case Caused By Enterovirus.
Guillain Barre syndrome (GBS) is an acute inflammatory polyradiculoneuropathy of autoimmune etiology that is usually preceded by a respiratory or gastrointestinal infection. It is characterized by a flaccid, symmetric, ascendent, arreflexic paralysis of rapid evolution. We describe a case of a 33 years old male patient, with a history of flu two weeks before admission, in addition to liquid stools that reverted spontaneously; his clinical picture consisted of a six days history of cuadriparesis aggravated by respiratory weakness, ending in mechanical ventilation. Examination of cerebrospinal fluid (CSF) revealed albumino-cytological disociation and PCR test resulted positive for Enterovirus. The patient received treatment with intravenous immunoglobulin with a favorable outcome. The purpose of this paper is to report a clinical case of GBS due to a new causal agent.
