复发缓解型多发性硬化症还是多相播散性脑脊髓炎(法国)

作     者：Lebrun C. Ghetau G. Bourg V. 方伯言 

作者机构：Service de Neurologie Hpita l Pasteur 30 voie romaine 06002 NiceFrance 

出 版 物：《世界核心医学期刊文摘（神经病学分册）》 (Digest of the World Core Medical Journals:Clinical Neurology)

年 卷 期：2005年第1卷第8期

页      面：9-9页

学科分类：1002[医学-临床医学] 100204[医学-神经病学] 10[医学] 

主　　题：脑脊髓炎 播散性 多发性硬化症 影像检查 疫苗接种史 鉴别诊断 免疫抑制剂 令人 

摘      要：Introduction. The imaging presentation of some forms of multiple sclerosis may be misleading. In patients with a history of recent infection or vaccination, e specially for adolescents or young adults, the differential diagnosis with acute disseminated encephalomyelitis can be difficult. Case report. We report an unus ual clinical and radiological presentation of multiple sclerosis,mimicking acute disseminated encephalomyelitis. We discuss clinical and radiological differenti al diagnosis, and the outcome after immunosuppressive treatment. Conclusion. Dis tinguishing between acute disseminated ncephalomyelitis and the first relapse of multiple sclerosis can be diffficult. Brain imaging is a precious tool for diff erentiating between the two diseases.