alexa Acute Hemorrhagic Leukoencephalitis (Hurst Disease) Secondary to H1N1 in a Child - A Story of Full Recovery from Qatar, A Case Report | OMICS International | Abstract
ISSN: 2329-6895

Journal of Neurological Disorders
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Case Report

Acute Hemorrhagic Leukoencephalitis (Hurst Disease) Secondary to H1N1 in a Child - A Story of Full Recovery from Qatar, A Case Report

Khair AM*, Elsotouhy A, Batool M and Elsaid M
Hamad Medical Corporation, Department of Pediatrics, Section of Pediatric Neurology, P.O. Box 3050, Doha, Qatar
Corresponding Author : Dr. Abdulhafeez Mohamed Khair
Specialist & clinical Fellow, Section of Pediatric Neurology
Hamad medical Corporation, P O Box 3050, Doha, Qatar
Tel: 0097433165827
E-mail: [email protected], [email protected]
Received: May 09, 2015; Accepted: May 23, 2015; Published: May 26, 2015
Citation: Khair AM, Elsotouhy A, Batool M, Elsaid M (2015) Acute Hemorrhagic Leukoencephalitis (Hurst Disease) Secondary to H1N1 in a Child - A Story of Full Recovery from Qatar, A Case Report. J Neurol Disord 3:231. doi: 10.4172/2329-6895.1000231
Copyright: © 2015 Khair AM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Background: Hurst disease is the rarest yet the most fatal form of acute demyelinating encephalomyelitis. There around 100 cases around the world, 10 of them are pediatric patients. The disease is quite severe in course and aggressive therapy is crucial to help improving the outcome. We are reporting a rather successful story of early recognition and treatment of young toddler with using all lines of known therapies simultaneously and aggressively. Case report: We are reporting 2 ½ years old girl who was previously healthy. She has some viral prodromal illness ended by severe encephalopathy. She has found to have novel H1N1 infection. Early plasma exchange and therapeutic hypothermia have been simultaneously utilized. There was obvious significant fast improvement in clinical status thereafter. Discussion: Immune therapy is advised in treating Hurst disease. One trial of hypothermia has been suggested in one case report. However, Combination of early use of plasma exchange and therapeutic hypothermia has not been reported in literature up to our knowledge. Our patient showed impressive clinical progress following these rarely used procedures. Conclusion: Recognition of autoimmune encephalitis especially the most severe forms is a must. If the patient shows enough clinical and radiological signs suggestive of Hurst disease, then aggressive immunotherapy and therapeutic hypothermia should be considered. A more favorable outcome might be reached using these therapies simultaneously

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