Journal of Pediatric Neurology 2018; 16(01): 015-020
DOI: 10.1055/s-0037-1603618
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Acute Disseminated Encephalomyelitis Secondary to Mycoplasma pneumoniae Infection Mimicking Extrapyramidal Symptoms: A Case Report

Chih-Chieh Cheng
1   Department of Pediatrics, Tungs' Taichung MetroHarbor Hospital, Taichung City, Taiwan
,
Hueng-Chuen Fan
1   Department of Pediatrics, Tungs' Taichung MetroHarbor Hospital, Taichung City, Taiwan
,
Ching-Shiang Chi
1   Department of Pediatrics, Tungs' Taichung MetroHarbor Hospital, Taichung City, Taiwan
,
Chuen-Ming Lee
1   Department of Pediatrics, Tungs' Taichung MetroHarbor Hospital, Taichung City, Taiwan
,
Shih-Ting Huang
2   Department of Family Medicine, Tungs' Taichung MetroHarbor Hospital, Taichung City, Taiwan
,
Lang-Lung Yeh
3   Department of Emergency Center, Tungs' Taichung MetroHarbor Hospital, Taichung City, Taiwan
› Author Affiliations
Further Information

Publication History

26 September 2016

24 April 2017

Publication Date:
02 June 2017 (online)

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Abstract

Acute disseminated encephalomyelitis (ADEM) is a rare disease affecting the central nervous system (CNS), and it is difficult to diagnose clinically because of vague prodromal presentations. The therapeutic aim for ADEM is to inhibit the CNS inflammatory reaction as quickly as possible. Treatments may include high-dose corticosteroids and anti-inflammatory and immunosuppressant therapies such as plasmapheresis and high-dose intravenous immunoglobulin. ADEM usually has a good prognosis. Here, we report a rare case of ADEM secondary to Mycoplasma pneumoniae infection mimicking extrapyramidal symptoms.