A 40-year-old man presents with acute loss of consciousness, seizures, and multiple multifocal ring-enhancing lesions on brain MRI. CSF reveals lymphocytic pleocytosis with negative bacterial culture and negative JC virus PCR. Serum and CSF testing shows elevated interleukin-6 and oligoclonal bands. Which of the following is the most likely diagnosis?
- A)Acute hemorrhagic encephalomyelitisGABARITO
- B)Tuberculous meningitis
- C)Bacterial meningitis
- D)CNS lymphoma
- E)Toxoplasmosis
Explicação
Acute hemorrhagic encephalomyelitis (AHEM) is a severe variant of ADEM presenting with sudden onset of altered consciousness, seizures, and multifocal ring-enhancing lesions with hemorrhage. The negative bacterial and JC virus PCR, lymphocytic CSF pleocytosis,... Ver explicação completa e trilha adaptativa →