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Favourable Outcome in a 33-Year-Old Female with Acute Haemorrhagic Leukoencephalitis
Waldo G Solis1, Sophie E Waller2, Angela K Harris3
1Department of Neurosurgery, John Hunter Hospital, New Lambton, New South Wales, Australia.
Background:
Acute haemorrhagic leukoencephalitis (AHLE) is a rare and rapidly fatal disease of unknown aetiology. There is a paucity of literature on the presentation and management of this rare disease.
Case Description:
We report the case of a 33-year-old female presenting with headache and left-sided apraxia. Imaging revealed a right-sided white matter lesion with extensive cytotoxic oedema. Pathology was suggestive of AHLE. She underwent an open excisional biopsy and was treated with high-dose corticosteroids. Three months since symptom onset she remains clinically well with resolving apraxia and radiological appearance.
Conclusion:
This case may represent a milder spectrum of AHLE, which responded favourably to corticosteroids.
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