I want your help and valuable suggestion for my father s treatment to make decision about treatment by plasmapheresis . Case History: On 26th Dec my father hospitalized after 2-3 vomiting , fever and motion at my native (Madhya Pradesh) in CHL-Medical center ( Hospital affiliated to CHL- Apollo Hospital Indore, MP). upto 4 days in hospital he was conscious & moving his left leg and hand on command. presently he is unconscious and only eyes are open. As per Doctor diagnosis for Acute Disseminated Encephalomyelitis (IVMP & IVIG ) as well as antibiotic treatment is on. I want to know about possibility of treatment through Plasmapheresis and approximately cost of the treatment.
Hello and welcome to Chat Doctor .ADAM is a desalinating disease of central nervous system characterized by abrupt onset of neurological system preceded by infection. The goal of treatment in ADAM is to arrest the CNS inflammation as soon as possible. High dose corticosteroid are the first line of treatment, however plasmapheresis and iv immunoglobulin are used in cases where there is contraindication or resistance to steroid or in cases of treatment failure.