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Acute disseminated encephalomyelitis following Mycoplasma pneumoniae infection complicated by respiratory arrest due to concurrent bilateral lateral medullary lesions: A case report
Author(s) -
Fukuoka Takuya,
Nakazato Yoshihiko,
Kawasaki Hitoshi,
Ikeda Kei,
Yamamoto Toshimasa
Publication year - 2018
Publication title -
neurology and clinical neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
0ISSN - 2049-4173
DOI - 10.1111/ncn3.12218
Subject(s) - medicine , mycoplasma pneumoniae , medullary cavity , medulla , acute disseminated encephalomyelitis , spinal cord , respiratory system , respiratory arrest , magnetic resonance imaging , encephalomyelitis , pathology , anesthesia , central nervous system , pneumonia , radiology , psychiatry
Abstract Reports on concurrent bilateral lateral medullary lesions in patients with neurological disorders are lacking. Herein, we discuss the case of a 40‐year‐old man who developed acute disseminated encephalomyelitis due to Mycoplasma pneumoniae infection. Brain magnetic resonance imaging revealed high signal intensities and demyelination in the concurrent bilateral lateral medulla and cervical spinal cord. Clinical features included respiratory arrest and psychiatric symptoms, although his symptoms improved several months following the initiation of artificial respiration and repeated steroid pulse therapy. Such findings emphasize the need to carefully monitor patients with acute disseminated encephalomyelitis exhibiting concurrent bilateral medullary lesions due to the risk of sudden respiratory arrest.