Mycoplasma Leukoencephalopathy a Case Report

J Korean Neurol Assoc > Volume 9(1); 1991 > Article

Journal of the Korean Neurological Association 1991;9(1): 85-90.

Mycoplasma Leukoencephalopathy 1례

강민수, 정성우,김영인,안재훈,이광수,김범생,이수중,이익준,이경수

가톨릭의과대학 신경과, 소아과.

Mycoplasma Leukoencephalopathy a Case Report

Min Soo Kang, M.D., Seong Woo Chung, M.D., Yeong In Kim, M.D., Jae Hoon Ahn, M.D., Kwang Soo Lee, M.D., Beum Saeng Kim, M.D. Soo Jung Lee, M.D.*, Ik Jun Lee, M.D.*, Kyung Soo Lee, M.D.*

Dep. Of Neurology & Pediatrics*, Catholic University

Abstract

We report an 8-year-old girl with leukoencephalopathy who demonstrated serologic evidence of Mycoplasma pneurnoniae infection. She suffered from a lobal pneurnonia 10 days prior to the admission, when sornnolence developed. The patient progressed to stupor over a few days and long tract signs appeared. She began to improve on the seventh hospital day only with conservative therapy. Magnetic resonance irnaging on the third hospital day revealed multiple white matter changes r including brain stern. Electroencephalography showed normal sleep pattern. Cerebrospinal fluid exarnirlation for anti-mycoplasma antibody was positive with minimal elevation of cells and protein. She fully recovered with erythromycin therapy. A followup magnetic resonance irnaging revealed almost complete resolution of previous lesion in the rnidbrain, but the other white matter lesion unchanged. The patient was diagnosed as having leukoencephalopathy complicated by a Mycoplasma pneumoniae infection.