| Acute Motor Axonal Neuropathy Combined withAcute Disseminated Encephalomyelitis |
| Seong-Yong Yu, Eui-Seong Lim, Byoung-Soo Shin, Man-Wook Seo, and Young-Hyun Kim |
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| Copyright © 2004 The Korean Society of Clinical Neurophysiology |
| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium,
provided the original work is properly cited. |
| ABSTRACT |
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Acute motor axonal neuropathy (AMAN) is a subtype of Guillain-Barre syndrome and characterized by selectiveinvolvement of motor fibers. Acute disseminated encephalomyelitis (ADEM) is a demyelinating disease of central nervoussystem. The coincidence of central and peripheral nervous system involvement has been reported rarely. Wedescribed a 37-year-old male patient presented with fever and altered consciousness. The examination of cerebrospinalfluid and brain magnetic resonance imaging was compatible with acute disseminated encephalomyelitis. Several daysafter admissionb his mentality was improved but quadriparesis, multiple cranial neuropathies, and areflexia were detected.Electrophysiologic studies suggested axonal form of motor dominant polyneuropathy. We report a case of acutemotor axonal neuropathy combined with ADEM. We consider that this case is an example of simultaneous immunologicprocess to the common pathogenic epitope of central nervous system and peripheral nervous system. |
| Key words:
Encephalomyelitis, Acute disseminated, Acute motor axonal neuropathy |
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