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Acute disseminated encephalomyelitis after parenteral therapy with herbal extracts: a report of two cases
  1. Stefan Schwarza,
  2. Michael Knauthb,
  3. Stefan Schwaba,
  4. Ingeborg Walter-Sackc,
  5. Eckhard Bonmanna,
  6. Brigitte Storch-Hagenlochera
  1. aDepartment of Neurology, University of Heidelberg, 400 Im Neuenheimer Feld, Heidelberg 69120, Germany, bDepartment of Neuroradiology, cDepartment of Clinical Pharmacology and Pharmacoepidemiology, Department of Medicine, University of Heidelberg, 58 Bergheimer Strasse, Heidelberg 69115, Germany
  1. Dr Stefan Schwarzstefan_schwarz{at}med.uni-heidelberg.de

Abstract

Two patients with acute disseminated encephalomyelitis after repeated injection of extracts from several different plants are described. There was no evidence of prior infection or vaccination. Both patients recovered rapidly after treatment with methylprednisolone. Acute disseminated encephalomyelitis should be considered a rare complication of parenteral therapy with herbal extracts.

  • acute disseminated encephalomyelitis
  • phytotherapy
  • adverse effect

https://doi.org/10.1136/jnnp.69.4.516

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