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논문 기본 정보

자료유형
학술저널
저자정보
Lee Jung Seok (Department of Neurology Jeju National University Hospital Jeju National University School of Medici) Kim Hong Jun (Jeju National University School of Medicine) Kim Joong-Goo (Department of Neurology Jeju National University Hospital Jeju National University College of Medic)
저널정보
대한신경집중치료학회 Journal of Neurocritical Care Journal of Neurocritical Care Vol.15 No.2
발행연도
2022.12
수록면
131 - 135 (5page)
DOI
10.18700/jnc.220078

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Background: Acute disseminated encephalomyelitis (ADEM)-like white matter disease, a rare complication of coronavirus disease 2019 (COVID-19), is a potentially life-threatening neurological disorder. The objective of this study was to report the successful treatment of post–COVID-19 ADEM with urgent immunotherapy and neurointensive management.Case Report: A 53-year-old woman was referred to our hospital with a 2-day history of progressive mental deterioration and was diagnosed with ADEM after COVID-19. The patient's symptoms worsened despite the administration of high-dose steroids, and targeted temperature management was employed to manage brain edema. Additionally, the neurointensivist decided to use intravenous immunoglobulin early for intractable post–COVID-19 ADEM. Her mental status and neuroimaging findings showed rapid improvement at about 3 months after admission.Conclusion: This case highlights that if the patient's symptoms worsen despite high-dose steroid administration in the acute stage, early use of intravenous immunoglobulin is expected to have a positive effect on the prognosis of patients with post–COVID-19 ADEM.

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