Differential diagnosis difficulties of focal central nervous system damage in children (а сlinical case)

Focal central nervous system damage can be a result of infectious process in brain or spinal cord, autoimmune or hypoxic-ischemic process and a relationship of these processes. Difficulties in differential diagnosis of variant pathogenic focuses in central nervous system are related with absence of...

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Main Authors: E. Yu. Skripchenko, A. A. Vilnits, V. E. Karev, N. V. Skripchenko, A. V. Surovzeva, E. N. Imyanitov, N. V. Marchenko, M. A. Buhalko, E. N. Suspitsin
Format: Article
Language:Russian
Published: ABV-press 2018-01-01
Series:Русский журнал детской неврологии
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Online Access:https://rjdn.abvpress.ru/jour/article/view/237
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author E. Yu. Skripchenko
A. A. Vilnits
V. E. Karev
N. V. Skripchenko
A. V. Surovzeva
E. N. Imyanitov
N. V. Marchenko
M. A. Buhalko
E. N. Suspitsin
author_facet E. Yu. Skripchenko
A. A. Vilnits
V. E. Karev
N. V. Skripchenko
A. V. Surovzeva
E. N. Imyanitov
N. V. Marchenko
M. A. Buhalko
E. N. Suspitsin
author_sort E. Yu. Skripchenko
collection DOAJ
description Focal central nervous system damage can be a result of infectious process in brain or spinal cord, autoimmune or hypoxic-ischemic process and a relationship of these processes. Difficulties in differential diagnosis of variant pathogenic focuses in central nervous system are related with absence of specific clinical and laboratory data. In such cases brain biopsy can help to make right diagnosis. In this article we characterized diagnostical process in teenage girl with progressive case of acute disseminated encephalomyelitis and vegetative status as complication, though she got large doses of steroids and intravenous immunoglobulins at the disease onset, with positive dynamic as a result of prolonged antiviral therapy. The diagnosis was made only by brain biopsy – we found herpesviral brain damage, further the disease transformed  in multiple sclerosis.
format Article
id doaj-art-e4614150259542a5a75d2e7684f66fa6
institution Kabale University
issn 2073-8803
2412-9178
language Russian
publishDate 2018-01-01
publisher ABV-press
record_format Article
series Русский журнал детской неврологии
spelling doaj-art-e4614150259542a5a75d2e7684f66fa62025-08-20T03:44:12ZrusABV-pressРусский журнал детской неврологии2073-88032412-91782018-01-01124637310.17650/2073-8803-2017-12-4-63-73169Differential diagnosis difficulties of focal central nervous system damage in children (а сlinical case)E. Yu. Skripchenko0A. A. Vilnits1V. E. Karev2N. V. Skripchenko3A. V. Surovzeva4E. N. Imyanitov5N. V. Marchenko6M. A. Buhalko7E. N. Suspitsin8Pediatric Research and Clinical Center for Infectious Diseases; Saint Petersburg State Pediatric Medical University.Pediatric Research and Clinical Center for Infectious Diseases.Pediatric Research and Clinical Center for Infectious Diseases.Pediatric Research and Clinical Center for Infectious Diseases; Saint Petersburg State Pediatric Medical University.Pediatric Research and Clinical Center for Infectious Diseases.Pediatric Research and Clinical Center for Infectious Diseases; N.N. Petrov National Medical Research Oncology Center, Ministry of Health of Russia.Pediatric Research and Clinical Center for Infectious Diseases.Pediatric Research and Clinical Center for Infectious Diseases.Pediatric Research and Clinical Center for Infectious Diseases; N.N. Petrov National Medical Research Oncology Center, Ministry of Health of Russia.Focal central nervous system damage can be a result of infectious process in brain or spinal cord, autoimmune or hypoxic-ischemic process and a relationship of these processes. Difficulties in differential diagnosis of variant pathogenic focuses in central nervous system are related with absence of specific clinical and laboratory data. In such cases brain biopsy can help to make right diagnosis. In this article we characterized diagnostical process in teenage girl with progressive case of acute disseminated encephalomyelitis and vegetative status as complication, though she got large doses of steroids and intravenous immunoglobulins at the disease onset, with positive dynamic as a result of prolonged antiviral therapy. The diagnosis was made only by brain biopsy – we found herpesviral brain damage, further the disease transformed  in multiple sclerosis.https://rjdn.abvpress.ru/jour/article/view/237childrenfocal central nervous system damageherpesvirusesacute disseminated encephalomyelitismultiple sclerosisdemyelinated diseasesmagnetic resonance imaging
spellingShingle E. Yu. Skripchenko
A. A. Vilnits
V. E. Karev
N. V. Skripchenko
A. V. Surovzeva
E. N. Imyanitov
N. V. Marchenko
M. A. Buhalko
E. N. Suspitsin
Differential diagnosis difficulties of focal central nervous system damage in children (а сlinical case)
Русский журнал детской неврологии
children
focal central nervous system damage
herpesviruses
acute disseminated encephalomyelitis
multiple sclerosis
demyelinated diseases
magnetic resonance imaging
title Differential diagnosis difficulties of focal central nervous system damage in children (а сlinical case)
title_full Differential diagnosis difficulties of focal central nervous system damage in children (а сlinical case)
title_fullStr Differential diagnosis difficulties of focal central nervous system damage in children (а сlinical case)
title_full_unstemmed Differential diagnosis difficulties of focal central nervous system damage in children (а сlinical case)
title_short Differential diagnosis difficulties of focal central nervous system damage in children (а сlinical case)
title_sort differential diagnosis difficulties of focal central nervous system damage in children а сlinical case
topic children
focal central nervous system damage
herpesviruses
acute disseminated encephalomyelitis
multiple sclerosis
demyelinated diseases
magnetic resonance imaging
url https://rjdn.abvpress.ru/jour/article/view/237
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