Acute disseminated encephalomyelitis presenting with hypertensive emergency

Samrat Ganguly; Mousumi Das; Nilay Ranjan Bagchi

doi:10.1093/tropej/fmt102

Acute disseminated encephalomyelitis presenting with hypertensive emergency

J Trop Pediatr. 2014 Apr;60(2):171-3. doi: 10.1093/tropej/fmt102. Epub 2013 Dec 10.

Authors

Samrat Ganguly¹, Mousumi Das, Nilay Ranjan Bagchi

Affiliation

¹ Department of Pediatrics, North Bengal Medical College and Hospital, Sushruta Nagar, Siliguri, Darjeeling - 734 012, West Bengal, India.

PMID: 24327453
DOI: 10.1093/tropej/fmt102

Abstract

We report a 12-year-old girl presenting with acute disseminated encephalomyelitis (ADEM) along with hypertensive emergency. Hypertension persisted for few weeks following recovery and subsided with oral clonidine. Although autonomic instability in ADEM has been reported before, hypertensive emergency was not previously documented as presenting feature of ADEM.

Keywords: ADEM; CNS; clonidine; demyelination; emergency; hypertension.

MeSH terms

Antihypertensive Agents / therapeutic use
Child
Clonidine / therapeutic use
Diagnosis, Differential
Encephalomyelitis, Acute Disseminated / cerebrospinal fluid
Encephalomyelitis, Acute Disseminated / diagnosis*
Encephalomyelitis, Acute Disseminated / physiopathology
Female
Humans
Hypertensive Encephalopathy / diagnosis
Hypertensive Encephalopathy / drug therapy*
Prednisolone / administration & dosage
Prednisolone / analogs & derivatives
Severity of Illness Index
Treatment Outcome

Substances

Antihypertensive Agents
methyl prednisolonate
Prednisolone
Clonidine